Kussmaul Seeds Product Order form

Corn

Silage

Alfalfa

Order

To receive a price quote on seed, fill in the information in the appropriate boxes, email it to the office, and we will return a price quote by email or phone. Only upon receiving a signed order from you, will we consider your request as an official order.

If you'd prefer, you can place your order via phone at 866.KUSSMAUL or fax at 608.988.4576.

Contact Information ( * = Required Information)
Name*
Phone*
Email
Delivery Information
Farm/Business Name
Address*
City*	State* ZIP*
Order Information
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity
Product Number	Quantity

Kussmaul Seeds, Inc. | Mt Hope, WI | 608-988-4568 | 866-KUSSMAUL
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