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North Dakota Department of Agriculture
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Program Area
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Please Select
Grain/Livestock
Pesticide/Fertilizer
Animal Medicine
Commercial Feed
Pet Food
What is the subject of your question or comment?
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Subject Matter
*
General Program Questions
Product Registration / Renewal Questions
License Application / Renewal Questions
Registrant Help
Product Cancellation
Website Suggestions
Other
Subject Matter
*
General Program Questions
Product Registration / Renewal Questions
License Application / Renewal Questions
Registrant Help
Product Cancellation
Pesticide Product Discontinuance
Website Suggestions
Other
Please fill out the questions below and use the next box to explain in detail the issues you are having or details.
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Please fill out the questions below and use the next box to explain in detail the issues you are having or details.
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Please fill out the questions below and use the next box to explain in detail the issues you are having or details.
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Do you have a spreadsheet or document with products to cancel or start discontinuance?
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No
Do you have any attachments to include with this message?
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No
Discontinuance Request
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Product Cancellation Request
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Program Email
example@example.com
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