Order Form
*Your Name: Address:
City: State: Zip:
Phone: Order Date:
*Your Email:
1 Crop: Variety: Units: *
2 Crop: Variety: Units:
3 Crop: Variety: Units:
4 Crop: Variety: Units:
5 Crop: Variety: Units:
* Denotes required field.
Note: Unit Weights – Wheat – 50#, Barley – 48#, Milo -50#, Other -Ask
