Questionnaire propolis_eng_280410ac

Specialized in Propolis & Beehive Products
Phone : 00.33.(0)4.67.96.38.14 - Fax : 00.33.(0)4.67.88.06.99 – Email : contact@apimab.com www.apimab-laboratoires.fr
QUESTIONNAIRE ON PROPOLIS

THE PRODUCER
SURNAME:.……………………………………………………………………………………………………………………………………………………………. First name:.…………………………………………………………………………………………………………………………………………………………… Address:.………………………………………………………………………………………………………………………………………………………………… ZIP code:……………… City:………………………………………………………………………………………………………………………………. Phone:…./…./…./…./.…
THE PRODUCT
Collecting Year:….…………………………………………………………………………………………………………………………………………………. Available Quantity:.………………………………………………………………………………………………………………………………………………. Collecting Place:.……………….………………………………………………….……………………………………………………………………………. Description of the vegetation:.…………………………………………………….………………………………………………………………………… ………………………………………….…………………………………………………………………………………………………………………………………. On which part of the Hive do you collect your Propolis? Top of the Hive Body of the Hive Bottom of the Hive Other If YES, how has it been dried? ………………………………………………………….……………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………. Treatment techniques of the top of the hive against the Bee Moth:.……………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………. Treatment process of wood for the top of the hive: Date:…………………………….……………………………………………………………………………………………………………. Product used:………………………………………………………………………………………………………………………………. Length of the treatment:….……………………………………………. Do you plan on producing organic cultivation? In order to appreciate the quality of you Propolis, we need a 100g sample
representative of your batch. If we buy your Propolis, you can charge us these 100g.

Source: http://www.apimab-laboratoires.fr/media/questionnaire-propolis-en.pdf

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