Spray Order Form

Name of person completing the form(Required)

First Last

Email for person completing the form(Required)

Do you have an account with Provincial Airways?

Yes

Business Name(Required)

Name(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Minimum one phone number required for safety and quality control reasons.

Home Phone

1st Cell Phone(Required)

Email(Required)

2nd Cell Phone

Which office/location do you deal with?

Moose Jaw Office

Rosetown Office

Not sure

Requested Spray Date

If you have a screenshot or file of your spray order you can upload it here, or you can briefly describe your order such as: crop, requested start date, product to be applied, rate to be applied, and total acres. You do not have to upload or write anything – office staff will contact you about your order within 24 hours.

File

Upload a sketch of your crop. [PDF, JPG, JPEG PNG, BMP, HEIC]

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, bmp, heic, Max. file size: 300 MB, Max. files: 5.

By Clicking ‘SUBMIT’ your spray order form is sent to office staff and you will be contacted within 24 hours to complete your booking. YOUR BOOKING IS NOT COMPLETE UNTIL YOU RECEIVE A CONFIRMATION FROM OFFICE STAFF VIA PHONE CALL OR EMAIL. If you do not hear from us in 24 hours, please call our office. Your field locations, potential obstructions, and sensitive areas to avoid must be confirmed for quality and safety reasons.