Floradale Feed Mill Limited

	Items on form: * = required
*Name:
Farm Name:
Account #:
*Address:		*Phone:
		Email:	Please enter email address for order confirmation. This will be used solely for purposes of this transaction
Devilery Address:
*Order Date:		*Date Required:

New customers will be contacted before order is produced to confirm order, directions, feed location and payment. New customers need to complete a Credit Application Form before starting an account.

Notes: Please mention bin#’s for bulk orders & location to put bags - Bulk is measured in Metric Tonnes