Bespoke Order
Create your own customised Blend from the following raw materials
This Order is being placed by:
Company/Farm:
Title:
Select...
Mr
Mrs
Miss
Ms
First Name:
Surname:
Account No. (If Known):
Please Deliver To Address:
Address Line 1:
Address Line 2:
Town/City:
County:
Country:
Post Code:
On Date:
Delivery Address
(if different to above)
& Special Instructions:
Delivered or Collected:
Select...
Delivered
Collected
Raw Material
Enter a percentage value only into the material boxes you wish to include
Inclusion Rate
Flaked Barley
%
Flaked Wheat
%
Oatmeal & Oat-Byproduct Nuts
%
Sugar Beet Pulp (Molassed)
%
Toasted Soya Hulls (Nuts)
%
Maize Gluten Feed Meal
%
Screened MG Nuts
%
US (Maize) Distillers
%
Barley Distillers Nuts
%
HJLO Cooked Cereal Mix
%
HJLO Maize Sugar Meal
%
Prairie Meal
%
Brazilian Soya Meal Ext
%
Linseed Meal Exp
%
Rapeseed Meal Ext
%
Molasses
up to 5%
Processed Fat
%
TOTAL MUST ADD UP TO
100%
Quantity:
(Min. 3 Tonnes)
Select...
3 Tonnes
4 Tonnes
5 Tonnes
6 Tonnes
7 Tonnes
8 Tonnes
9 Tonnes
10 Tonnes
11 Tonnes
12 Tonnes
13 Tonnes
14 Tonnes
15 Tonnes
16 Tonnes
17 Tonnes
18 Tonnes
19 Tonnes
20 Tonnes
**E-mail Address, Telephone Number AND Area Code Are Required For All Orders Placed**
E-mail:
*
Phone:
(incl dialling code)
*
Ext.
Fax:
(incl dialling code)
© HJ Lea Oakes 2003
