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Test No Till-Drill Form

  1. Equipment Rental Request Form Great Plains 706NT No-Till Drill
  2. I have read and understood the Procedures for Rental/Use of the Great Plains 706NT No-Till Drill*
  3. I have completed the No-Till Drill Equipment Lease Agreement*
  4. By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. I Agree *
  6. INTERNAL USE ONLY
  7. Date Request Received _____________________________
  8. Received By: _________________________
  9. Copy of Government Issued ID Attached ______
  10. APPROVED:
  11. ____Yes
  12. ____ Yes, with the following modifications ___________________________________________________________________________________
  13. ____ No (Reason) _____________________________________________________________________________________________________________
  14. Leave This Blank:

  15. This field is not part of the form submission.