Naam / First Name *

Van / Last Name *

ID-nommer / ID Number *

Sel / Cell *

E-pos / Email *

Dorp / Town *

Distrik / District * Kies asseblief / Please choose Oos-Kaap / Eastern Cape Vrystaat / Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga Noord-Kaap / Northern Cape Noordwes / North West Wes-Kaap / Western Cape

Kultivar / Cultivar *

Gewas / Crop type * Kies asseblief / Please choose Mielies / Maize Sonneblom / Sunflower Sojabone / Soybeans

Kategorie / Category * Kies asseblief / Please choose Mielies: KwaZulu-Natal Streek / Maize: KwaZulu-Natal Region Mielies: Oostelike Hoëveld Streek / Maize: Eastern Highveld Region Mielies: Oos-Vrystaat Streek / Maize: Eastern Free State Region Mielies: Sentrale Streek / Maize: Central Region Mielies: Noordwes Streek / Maize: North West Region Mielies: Watertafel Streek / Maize: Watertable Region Mielies: Besproeiing (nasionaal) / Maize: Irrigation (countrywide) Sojabone: KwaZulu-Natal Streek / Soybeans: KwaZulu-Natal Region Sojabone: Oostelike Hoëveld Streek / Soybeans: Eastern Highveld Region Sojabone: Oos-Vrystaat Streek / Soybeans: Eastern Free State Region Sojabone: Sentrale Streek / Soybeans: Central Region Sojabone: Watertafel Streek / Soybeans: Watertable Region Sojabone: Noordwes Streek / Soybeans: North West Region Sojabone: Besproeiing (nasionaal) / Soybeans: Irrigation (countrywide) Sonneblom: Nasionaal / Sunflower: Countrywide Kleinskaal produsente: Mielies droëland (nasionaal) / Small Scale Producers: Maize Dryland (countrywide)

Plaas / Farm *

I have read and accept the Competition Rules / Ek het die kompetisiereëls gelees en aanvaar