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2. Name*
4. Address*
6. City, State*
8. Zip Code*
10. Day Time Phone Number*
12. Email Address*
14. Level of Nuisance*

    1. Not Bad
    2. Moderate
    3. Extremely Bad
15. Is your land Residential or Commercial Agriculture?

    1. Residential
    2. Commercial Agriculture
17. Are they damaging crops at your location?

    1. No
    2. Yes
18. Are they actively congregating on specific plants or trees on your property?

    1. Not Bad
    2. Moderate
20. Short Description of Problem
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22. 1. Receive an email copy of this form.
23. Email address

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24. Submit

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