| 1. Seed Lot Data | ||
| Commercial Variety name: | ||
| Experimental name(s) (optional): | FG 43M121 | |
| Has this variety received National Review Board approval? N | ||
| 2. Plant Characteristics | Distributor/ Marketer (none if experimental) | |
| Fall Dormancy rating (1-11): | 4 | Company: |
| Winter Survival rating (1-6): | 2 | Contact Person: |
| Grazing Tolerance | Address: | |
| (% of Alfagraze check): | ||
| Multifoliolate Expression Index: | City: | |
| Percent multifoliolate plants: | ||
| 3. Pest Resistance Ratings | State: | |
| (S=susceptible, LR, MR, R, HR=highly resistant) | ||
| Anthracnose: | HR | Zip/Postal code: |
| Aphanomyces (Race 1): | HR | Telephone: |
| Aphanomyces (Race 2) : | Fax: | |
| Bacterial Wilt: | HR | Email address: |
| Blackstem, spring: | ||
| Fusarium Wilt: | HR | Breeder/ Developer (optional) |
| Leaf spot, common: | Company: Forage Genetics Int. | |
| Phytophthora Root Rot: | HR | Contact Person:Mark McCaslin |
| Sclerotinia crown and stem rot: | Address:N 5292 S. Gills Coulee Rd | |
| Verticillium Wilt: | HR | City: West Salem |
| Alfalfa stem Nematode: | State: WI | |
| Root Knot Nematode, Northern: | Zip/Postal code:54669 | |
| Root Knot Nematode, Southern: | Telephone: 608-786-2121 | |
| Root Lesion Nematode: | Fax: 608-786-2193 | |
| Blue Alfalfa Aphid: | Email address: mccaslin@foragegenetics.com | |
| Pea aphid | Comment: | |
| Spotted Alfalfa Aphid: | ||
| Potato Leafhopper: | ||
| Person making entry: | ||
| Name: Robert Clark | ||
| Company: Forage Genetics Int. | ||
| Address: 1897 195th St | ||
| City: Boone | ||
| State: IA | ||
| Zip/Postal code: 50036 | ||
| Telephone: 515-432-9115 | ||
| Fax: 515-432-2157 | ||
| Email address: rclark@forage-genetics.com | ||