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AG Schilling & Co Seeds Order Form

AG Schilling & Co Seeds Customer Order Form

2. Customer Details *This question is required.
This question requires a valid number format.
3. .
This question requires a valid number format.
4. Order Details

Lentils (Treated)

Pack size options are Bulk or 1 tonne Bulk Bag.
Space Cell QtyPack SizeVariety
#1
#2
#3
#4
#5
5. Barley, Wheat, Oats, Peas (Treated or Bare)

Pack size options are Bulk or 1 tonne Bulk Bag.
Space Cell QtyPack SizeCommodityVarietyTreated or Bare
#1
#2
#3
#4
#5
7. Collection Details *This question is required.
8. Confirmation of Order
This is confirmation of your order and acknowledging our terms and conditions. Please check your order carefully before placing your order. We will contact you to arrange payment and confirm your scheduled delivery date. *This question is required.
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Signature of