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Order Feed
Order Feed Online
First Name:
Type your first name
Last Name:
Type your last name
Farm Name:
Name of your farm (if applicable)
Email:
Type your email address
Phone Number:
Type the phone number we can best reach you at
Species:
Type the species this order is for
Ration:
Type the ration name, number, or the ingredients and amount for ration.
Veterinary Feed Directive (VFD)?:
Yes
No
Does this order require a veterinary feed directive (VDF)?
Order Amount:
Type the total weight for the feed order
Preferred Delivery Date:
Calendar
Today
Same day deliveries must be phoned in, & are subject to manager approval
Earliest Delivery Date:
Calendar
Today
Same day deliveries must be phoned in, & are subject to manager approval
Delivery Location:
Type the address of the delivery location. If no postal address is available see below and type the closest town in this text box.
Special Delivery Instructions:
If no postal address is available, type the county, township and section of the delivery location in this box. Use this box for special delivery instruction.
Additional Comments:
Use this space for additional comments
Security Code: