Product To Sell Form

Name *
Trading Name
Farm Name & Address
Postcode
Tel No *
Email *
Product Available
Organic Feed Wheat       Qty Req'd
Organic Feed Barley       Qty Req'd
Organic Feed Oats       Qty Req'd
Organic Feed Triticale       Qty Req'd
Organic Peas       Qty Req'd
Other - please state product & qty
Collection Requirements
Lorry Type
Delivery Required
Movement By(Prefered date)
During month of
Further Comments
Please confirm your Organic Status
Are you Farm Assured?
A copy of your documents will be required prior to confirmation of any orders agreed
Please enter the characters in black