SAVE FLORIDA'S NATIVE BROMELIADS
FCBS Online Seed Collection Form
1:
Collector Name:
*
e.g. Ann B. Smith
2:
Collector Email Address:
*
3:
Collector Telephone:
*
4:
Collector Fax number:
5:
Permit number or relationship to landowner:
*
DOACS Regulated Plant Index Harvesting Permit (DACS-08135)
Permit # is typed in upper right hand corner of permit.
If you are not required to have a permit, give your position (e.g., park biologist).
6:
Species Collected:
Catopsis berteroniana
Catopsis floribunda
Catopsis nutans
Guzmania monostachia
Tillandsia balbisiana
Tillandsia fasciculata
Tillandsia flexuosa
Tillandsia paucifolia
Tillandsia pruinosa
Tillandsia simulata
Tillandsia utriculata
Tillandsia variabilis
*
select from dropdown list
e.g.Tillandsia fasciculata
7:
Variety (if appropriate):
var. clavispica
var. densispica
var. fasciculata
8:
Local Bromeliad Society:
e.g. Bromeliad Society of Central Florida
9:
Date of Collection:
*
(give it in military style:
day - first 3 letters of month - year in full)
- e.g., 4-JUL-2001
10:
County of Collection:
Brevard
Broward
Charlotte
Collier
Dade
DeSoto
Glades
Hardee
Hendry
Hernando
Highlands
Hillsborough
Indian River
Lake
Lee
Manatee
Martin
Monroe
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Sarasota
Seminole
Volusia
*
11:
Locality:
*
e.g. 2.4 mi S of Palmdale on Hwy 29
12:
Habitat:
*
e.g. from one of a group of cypress trees
Coordinates:
13:
Latitude:
*
e.g. 26º53.59'N
14:
Longitude:
*
e.g. 81º23.49'W
15:
Photos:*
I will email digital photo(s) to webmaster@fcbs.org
I will mail in my photo(s) for scanning
Sorry, I have no photo(s)
16:
Name of person in charge of germination/growth:*
17:
Address of place where seed is being germinated/grown:*
18:
Comments:
*Required fields
Please insure that you have filled in all the required* information before pressing the submit button.
Your form will be emailed to the Database Coordinator, Carolyn Schoenau
http://fcbs.org/