Cyclamen Society

Cultivar Registration Form

Note: Fields marked with an asterisk * are mandatory

Species *	Sub-species		Forma
Variety	Cultivar Name *		Reg. date
Registrant *	Originator		Published Date
Patent Granted	Patent Authority		Published in
Name meaning		Trade Names
TM Owner	TM Authority		TM Grant No
Illustration *	Herbarium deposit
Wild Location		Other Origin
Awards		Distinctive Characteristics*
Resembles		Difference
Pollen Parent	Seed Parent		Raiser
Year Raised	No. of Plants raised*		% True from seed
Leaf * Description		Flower Description*
Leaf Length	Leaf Width
Petal Length	Petal Width		Flower Colour
Flower Scent		Roots Description
Tuber Description		Seed Pod Description
Tuber Dia.	Ave. Seeds per Pod

Please protect the unique nature of your new cultivar by providing as much information as possible.
We would ask that supply us with a photograph (transparency or digital for preference) as this is the best reference for highlighting the essential characteristics of your cultivar. Please note that this illustration will be used in the Registered Cultivars section available on the Society's web site.
The Notes area below can be used to advise the registrar how you will supply the illustration and to communicate any additional information which you consider necessary.

Notes

Contact Details

Name*
Company/Organisation
Address Line 1*
Address Line 2
Town/City*
County/State
Post/Zip Code*
Country*
Email Address*
Telephone Number

By pressing 'Submit Registration' you are sending your registration request directly to the Cyclamen Society Registrar