Application Form :: please fill up the fields below.

Complete Name of Organization  
Address:  
City:   ZipCode:   Country:
Telephone:   Country Code: Area Code:   Number:
Fax:   Country Code: Area Code:   Number:
E-mail: (required)
Representative:  
Given Name: Family Name:
Job Title / Position:  
Alternate Representative:  
Given Name:   Family Name:
Job Title / Position:  
  Marketing/Sales/PR Representative:
Given Name:   Family Name:
Email Address of Marketing/Sales/PR Representative  
Company Anniversary:  
APSA Member Category:  
    Government Seed Agencies
    Associate Members
Type of Business:   (Check all that apply)
    Breeding Equipment / Machineries Training
  Production International Operation Policy / Program / Research
  Marketing National Development Processing / Conditioning / Quality Control
  Consultants Seed Association Other (Specify:)
 
Type of service: (Check all that apply)
 
Seed Processing /Quality Control Equipment Vegetable
Seed Coatings Grass / Forage / Pasture
Packaging / Bagging Equipment Cereal / Grain
Irrigation Systems Flower / Ornamentals
Fertilisers / Herbicides / Pesticides Fruits
Biotechnology Rice
(Other Seed (Specify: )

 

  

PRODUCT BY CROPS (Please specify)
 

CROP

 

Common Name

 (Please Check)      
 

VEGETABLES

 

 

        
 

A. Leafy Shoots

 

Onion (Leafy)

 Cabbage Lettuce Brussels sprouts Mustard
 

 

 

Kohlrabi

 Beet Greens Swiss Chard Spinach Morning Glory (Kangkong)
 

 

 

Asparagus

Gourd & Luffa

 Watermelon Cucumbers Zucchini
 

 

 

Melons/Cantaloupe

 Others
     
 

B. Flower/ Fruit

 

Broccoli

 Cauliflower Pepper Tomato Chili
 

 

 

Eggplant

 Okra Artichoke Celery Others
     
 

C. Root/Tuber/Bulb

 

Potato

 Carrots Beets Sweet Potato Radish
 

 

 

Garlic

Parsnip Others
     
 

D. Pod (Beans/Peas/Grains

 

Long Beans

 Sweet peas Green Beans    
 

 

 

 

        
               
 

ORNAMENTALS

 

 

        
 

A. Flowers

 

Cutflowers

 Potted Annuals Perennials Others
     
 

B. Foliage

 

Cut Greens

 Potted Annuals Perennials Others
               
               
 

SPICES

 

Basil

 Oregano Cilantro Mints Parsley
 

 

 

Endive

 Marjoram Pepper Garlic Others
 

 

 

 

        
               
 

FIELD CROPS

 

 

        
 

A. Legumes

 

Soybean

 Mungbean Others
 

 

 
 

B. Fiber Crops

 

Cotton

 Others  
 

 

 
 

C. Cereals & Grains

 

Rice

 Corn Wheat Sorghum Oat
 

 

 

Rye

 Others  
 

 

 

 

        
               
 

D. Root Crops

 

Potato

 Yam Taro Others  
 

 

 

 

        
               
 

FRUIT CROPS

 

Annuals

 Biennials Perennials    
 

 

 

 

        
               
 

FORAGE & GRASSES

 

Sudan Grass

 Bluegrass Timothy Bermuda Alfalfa
 

 

 

Clover

 Others    
 

 

 

 

        
   
 

Brief Description of Company/Organization Activities (1,000 characters):
 
   
  How did you know about APSA? (1,000 characters):
 
   
  What benefits do you expect to receive from APSA? (1,000 characters):