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Delivery AddressThis field is hidden when viewing the formAddress* Street Address Delivery City Delivery State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Delivery Zip Code Delivery Street AddressDelivery CityDelivery StateSelect oneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPalauPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingBritish ColumbiaOntarioNewfoundland and LabradorNova ScotiaPrince Edward IslandNew BrunswickQuebecManitobaSaskatchewanAlbertaNorthwest TerritoriesNunavutYukon TerritoryDelivery Zip CodeDelivery OptionsDelivery Options* Delivered Pickup @ Terminal Pickup @ Warehouse Billing AddressSame as Delivery Location Same as Delivery Location This field is hidden when viewing the formAddress* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Street AddressCityStateSelect oneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPalauPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingBritish ColumbiaOntarioNewfoundland and LabradorNova ScotiaPrince Edward IslandNew BrunswickQuebecManitobaSaskatchewanAlbertaNorthwest TerritoriesNunavutYukon TerritoryZip CodeCustomer Type* Mush Grower Retailer Individuals Rest/Caterer Delivery Type* Commercial Farm Church Residential Country Club or Golf Course Public School Limited Access With Forklift, Dock or Liftgate* Hand Unload Liftgate (drops Pallet) Forklift/Dock, etc. Loading Dock Type of OrderType of Order Mushroom Supplies BBQ Pellets Mixed Pallet (0= No Fee, 1=1-ton, 1.2=1.2 ton)This field is hidden when viewing the formMixed Pallets Riverside? (1=YES- 0=NO)Forwarding Pallet - RiversideHand-Unload# Tons 0.25T 0.50T 1T 1.2T 2T 2.2T 2.4T 3T 3.6T 4T 4.8T 5T 6T Over 6T Wood, Fast Fruiting Mix, and Straw100% Oak 40#100% Oak Half-ton 40#FF 40#FF Half-ton - - - 40#FF 20#FF Half-ton 20#100% Oak LJ 40#100% Oak LJ RIVERSIDE 40#100% Straw 40#100% Straw Half-ton 40#100% Oak 2000# ToteFF 2000# Tote100% Oak 20#SupplementsSoy Hull 40#Soy Hull Half-ton 40#Soy Hull 2000# Tote DiamSoy Hull 2000# Tote HuntSoy Hull 50# - 40 bags per tonSoy Hull Half-Ton 50# - 20 bags per half-tonNON-GMO Soy Hull Full-Ton 40#Non-GMO Soy Hull Half-Ton 40#Non-GMO Oat Hull 40#Non-GMO Oat Hull Half-Ton 40#Mixed Non-GMO Oat Hull 40#Soy Hull 20#Wheat Midds Pelleted 50#Wheat Midds Pelleted Tote - 2000#Organic SupplementsOrg Soy Hull 40#Org Soy Hull Pellets Half-ton 25 x 40 PoundsOrg Soy Hull 2000# ToteFeed Grade Org Soy Hull 40#Feed Grade Org Soy Hull Pellets Half-ton 25 x 40 PoundsOrg Oat Hull 40#Org Oat Hull Half-Ton 40#Org Oat Hull 2000# ToteMixed Org Oat Hull 40#Org Wheat Bran Half-Ton 40 x 25#Org Wheat Bran 1000#Org FF 40#Trans Wheat Bran Half-Ton 40 x 25#This field is hidden when viewing the formOrg Soy Hull 20#This field is hidden when viewing the formMushroom Org Soy Hulls (35 bags per pallet - 1225 pounds)GrainRed Milo 40#Red Milo 50#Red Milo Half-Ton 50#Rye Half-Ton 40#Rye 40#Millet White Proso 50# (NOT ORG)Millet White Proso 50# (NOT ORG) HalfWhole Oats 40# (Conventional)Millet White Proso 2000#This field is hidden when viewing the formMillet White Proso 40#Organic GrainOrganic GrainOrg Rye 50#Org Rye Half-ton 50#Org Rye 50#Org Whole Oats 40#Org SRWW Wheat Berries 50#Organic Milo 2000#This field is hidden when viewing the formOrg Millet White Proso 50#Org Long Grain Brown RiceThis field is hidden when viewing the formOrg Wharhog Wheat 50# bagsEquipmentThor BaggerThor Bagger Volumetric SystemThor Bagger Continuity KitThor Bagger ExtensionsThor Bagger Build Your OwnThor Bag ShakerThor Vacuum 1 UnitThor Vacuum 2 Unit PlusThor Bag Cracker - XLS SizeThor Bag Cracker - 14A/3T SizeThor CompressorThor Bagger ConeStir Plate SingleStir Plate DoubleLab Rat Model XLS NomadLab Rat Model SLab Rat Model MSH ScientificSH Sci 150 Liter AutoclaveSH Sci 150 Liter BasketsSH Sci 100 Liter AutoclaveSH Sci 60 Liter AutoclaveFlocubeFloCube Flow Hood, 4 x 2ftFloCube Flow Hood, 3 x 2ftFloCube Flow Hood, 2 x 2ftFloCube 18 inch Heat SealerFloCube Stand for 18 inch Heat SealerFloCube 16 inch Heat SealerThis field is hidden when viewing the formFloCube 16 inch Heat SealerFloCube 48 inch RiserFloCube 36 inch RiserFloCube 24 inch RiserFloCube Hepa Filter 4 x 2ftFloCube Hepa Filter, 3 x 2ftFloCube Hepa Filter, 2 x 2ftUnicorn Bagscheck inventory sheetXLS-A-1000XLS-A-5001000 Horizon - Unicorn Bags XLS-AUN-XLS-A-500-HZ14-A-100014-A-50014-A-150UN-14A-WITH-XLS-A FILTER-1000XLS-T-1000XLS-T-5003-T-10003-T-5003-T-15010-T-100010-T-50010-T-15010-T-1000-INJECTION4T-INJ - 1000UN-10A-50This field is hidden when viewing the formXLS-T INJ 1000 (Injection Port)This field is hidden when viewing the formXLS-Biodselect one (w/ list of sizes)500This field is hidden when viewing the formXLS-A-Sselect one (w/ list of sizes)1000500This field is hidden when viewing the formXLS-A-Hselect one (w/ list of sizes)1000500This field is hidden when viewing the formXLS-Bselect one (w/ list of sizes)1000500100755025This field is hidden when viewing the form3-Bselect one (w/ list of sizes)1000500150100755025Canners and SterilizersAll American 925 CookerAll American 921 CookerAll American 930 CookerAll American 941 CookerAll American 75X - 240VAll American 75X - 120VAll American 75X - 120VAll American 1941All American 50X - 120VMush All AmericanThis field is hidden when viewing the formAll American CANNERSselect from dropdown921941This field is hidden when viewing the formQuantitySterilizersselect from dropdown75X120V 41 Qt Electric Sterilizer1941X 41 Qt Stovetop Non-Electric SterilizerElectric Sterilizer BaseQuantityThis field is hidden when viewing the formPresto 23 Qt CannerBBQ Pellets100% Oak BBQ Qty 40#This field is hidden when viewing the formTotal Orders 40sTotal Orders 20sThis field is hidden when viewing the formTotal Bags 40sThis field is hidden when viewing the formTotal Weight 40sThis field is hidden when viewing the formTotal Bags 20sThis field is hidden when viewing the formTotal Weight 20sTotal Bags & Total WeightThis field is hidden when viewing the formTotal BagsThis field is hidden when viewing the formTotal WeightShipping:Shipperzschultz@centraltransport.comltl@speedeedelivery.comrates@dohrn.comasporlein@rrts.comBraden.Hrack@chrobinson.comVincef@sclfreight.comkritenour@globaltranz.comSecondary ShipperCTL2Dohrn (rates@dohrn.com)Dohrn2Magnum2n/anew shipperXPOYRCShipping Actual (admin use only)Shipping ChargedSales Certificate on File (admin use only)Has Export (admin use only)This field is hidden when viewing the formDELETE Shipping ActualDelivery Appointment - $15 Yes No Call Ahead - $15 Yes No Secondary Shipper none Denver Air Gofer Delivery InstructionsIs there anything else we need to know?This field is hidden when viewing the formInnoculated Blocks - 1300# Mossy Creek/ManOWarThis field is hidden when viewing the form100% Hemp 40#This field is hidden when viewing the formTest SelectionThis field is hidden when viewing the formZMixed Pallet Oak Pellets/Non-GMO Oat Hull PelletThis field is hidden when viewing the formPallet Forwarding Fee - RiversideThis field is hidden when viewing the formZZZ_Pellet Crumbling (per ton)This field is hidden when viewing the formRiverside Pallet Wrapping (per ton)This field is hidden when viewing the formMixed PalletThis field is hidden when viewing the formFloCube 2 x 4 ft CoverThis field is hidden when viewing the formFloCube 2 x 3 ft CoverThis field is hidden when viewing the formFloCube 2 x 2 ft Cover
