Please print, fill out and sign. We also need a copy of this hay's FeedTest report for our records. If possible, use one form for each line of hay listed.

Name:  .............................................................................................          Phone:   .......................................

Address:  .............................................................................................................         Postcode:   ................

Hay components (eg. balansa/rygrass 50/50)   .................................................................................................

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Hay form (eg. 6x3x2, 5x4, small square. etc.)  .....................................................    Year of cut  .....................

Average weight (weighed/guessed)  ...................  kg.                                           Number for sale  ..................

Signifant rain (1/2" plus) on windrow  Yes/No ............     on bales/rolls  Yes/No ............

Winter Access:  Yes/No ..............    Loader available:   Yes/No ...............   Shedded  Yes/No ........................

Weeds - barley grass/wireweed/radish/thistle/corkscrew/dock/other?  ...............................................................

PRICE:        Per bale/roll:      $ ..............................        Per tonne:     $..........................

FEEDTEST RESULTS

Protein:  ..............%                 Digestibility:  .....................%                     Energy Value:  ........................mj/kg

Moisture Content:  .....................%

Other details which buyers should know about or which may help sale (ie. conditioned, cut early, new sown pasture, some sun bleaching, jute twine, some heating, etc.)

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              I certify that the above information represents this line of hay accurately. Feedtest sampling was done according to the Test lab guidelines.

              I agree if this or other hay is sold through introduction by the Lismore Business Centre or because of listing by the Centre, I will pay 2% of the total price received to the Lismore Business Centre within 21 days.

              I understand that price setting, negotiations with buyers and collection of payment for hay sold are solely my responsibility and that the Lismore Business Centre's function is simply that of an information exchange.

SIGNED  ............................................................          DATE  .......................................