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| Primary month(s) Reward is/was purchased | *Number of business locations/branches |
| | To select multiple months, hold down the “Ctrl” key on
your keyboard while clicking on each of the months you wish to select. |
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Required |
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| Primary month(s) Reward will be applied | *Number of application crews |
| | To select multiple months, hold down the “Ctrl” key on
your keyboard while clicking on each of the months you wish to select. |
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Required
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Where did you hear about the Aquatic Herbicide Performance Guarantee? |
* Number of acres treated with Reward this calendar year |
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Required
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* Authorized Reward Distributor, Agent |
* Distributor or Agent Sales Representative’s Name |
Required |
Required |
| * Location of treatment(City,State) |
* Water body name or description of location |
* Air temperature |
Required |
Required |
Required |
| * Date of treatment |
* Rate of Reward used |
* Sky condition (sunny, cloudy, rainy, overcast, etc.) |
Required |
Required |
Required |
| * Time of treatment |
* Area treated (acres) |
Wind condition |
Required |
Required |
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| * Target weed |
* Area of treatment failure (acres) |
Water Temperture |
Required |
Required |
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| Water turbidity |
Water pH |
Was the treatment for private or public waters? |
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Did you
use Reward in a combination? if so, with what product? |
* How
should we contact you to validate/verify claim (phone, email)? |
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Comments/further explaination/details | |
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*Denotes a required field |
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