Name: **

Address: **

City, State, Zip Code: **

E-mail address: **

Telephone: **

Location of new plant (city, state, country):

Plant information:

Date discovered:      Date propagated:

Botanical name:

Common name:

What distinguishes your plant from ones already available in the industry?

Does your plant have other noteworthy characteristics?

Explain:

Other characteristics:

Growth information:

What is your plants estimated height at maturity?  width?

Estimated annual growth rate:  Age of plant:

Moisture requirements:  Soil requirements:

Bloom season:   Bloom size:

Has your plant ever been sold in the industry? (to a garden center, landscaper, nursery, or any other company that buys, sells, or installs plant material)    Yes     No

Has your new plant been described in print?    Yes     No
If Yes, in what publication?

Do you have a selected name for your plant?    Yes     No
If Yes, please list plant name:

Has this name ever been used in print or has the plant ever been sold under this name?
   Yes     No
If Yes, please explain:

Has the plant ever been vegetatively propagated?    Yes     No
If Yes, how many plants are available?

Please include any comments or observations: