New Dealer Form | Purplepursuit

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NEW DEALER INFORMATION FORM:

First Name *

Last Name *

Email

Phone

Company

SHIPPING INFO:

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

BILLING INFO:

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

What products are you looking at carrying?

Swine Gut Bomb

Junction

Backdrop

Blender

Beef Gut Bomb

Nu Gut

Chiller

Pink 2 Purple

Beef Champion Finisher

Beef Champion Heifer

Beef Champion Developer

SAC Oatmeal

Yaggie's Rolled Oats

SwineMate

Tell us about your store and how many tons of product you believe you could sell in a year:

Thanks for your interest in carrying our products!

NOTE: Pallets come as 48"x42"x60" with weight staying below 2500 lbs.

I agree to the terms & conditions tha all pallets of feed ordered wll be paid in full with credit card before product will be sent out. I also understand that the liability is taken off of Spencer Ag once the products are sent via LTL out the office of Spencer Ag.

Products of Spencer Ag Center of Spencer, Iowa.
Spencer Ag Center
1901 East 8th Street
Spencer, IA 51301
(712)262-5552

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