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First Name*

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Email*

Business Name

Cell Phone Number*

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Delivery Address

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Address*

Street Address Delivery City Delivery State Delivery Zip Code

Delivery Street Address

Delivery City

Delivery State

Delivery Zip Code

Delivery Options

Delivery Options*

Delivered

Pickup @ Terminal

Pickup @ Warehouse

Billing Address

Same as Delivery Location

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Address*

Street Address City State ZIP Code

Street Address

City

State

Zip Code

Customer 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 Order

Mushroom Supplies

BBQ Pellets

Mixed Pallet (0= No Fee, 1=1-ton, 1.2=1.2 ton)

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Mixed Pallets Riverside? (1=YES- 0=NO)

Forwarding Pallet – Riverside

Hand-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 Straw

100% 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% Oak LJ MOW 40#

100% Oak 2000# Tote

FF 2000# Tote

100% Oak 20#

100% Straw 40#

100% Straw Half-ton 40#

Supplements

Soy Hull 40#

Soy Hull Half-ton 40#

Soy Hull 40# – MOW

Soy Hull 40# – MOW Half-ton

Soy Hull 2000# Tote Diam

Soy Hull 2000# Tote Hunt

Soy Hull 2000# Tote Diam

Soy Hull 50# – 40 bags per ton

Soy Hull Half-Ton 50# – 20 bags per half-ton

NON-GMO Soy Hull Full-Ton 40#

Non-GMO Soy Hull Half-Ton 40#

Non-GMO Soy Hull 2200# SD Soy TO RIV

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 Supplements

Org Soy Hull 40#

Org Soy Hull Pellets Half-ton 25 x 40 Pounds

Org Soy Hull 2000# Tote

Non-GMO Soy Hull Pellets 2000lb

Feed Grade Org Soy Hull 40#

Feed Grade Org Soy Hull Pellets Half-ton 25 x 40 Pounds

Org Oat Hull 40#

Org Oat Hull Half-Ton 40#

Org Oat Hull 2000# Tote

Mixed 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#

Org Slow Fruting 40#

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Org Soy Hull 20#

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Mushroom Org Soy Hulls (35 bags per pallet – 1225 pounds)

Grain

Red 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) Half

Whole Oats 40# (Conventional)

Millet White Proso 2000#

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Millet White Proso 40#

Organic Grain

Org Rye 50#

Org Rye Half-ton 50#

Org Rye 50#

Org Whole Oats 40#

Org SRWW Wheat Berries 50#

Organic Milo 2000#

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Org Millet White Proso 50#

Org Long Grain Brown Rice

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Org Wharhog Wheat 50# bags

Equipment

Thor Bagger Full Unit with Volumetric

Thor Bagger Volumetric System

Thor Bagger Continuity Kit

Thor Bagger Extensions

Thor Bagger Eco

Thor Bagger Build Your Own

Thor Bag Shaker

Thor Vacuum 1 Unit

Thor Vacuum 2 Unit Plus

Thor Bag Cracker – XLS Size

Thor Bag Cracker – 14A/3T Size

Thor Compressor

Thor Bagger Cone

Stir Plate Single

Stir Plate Double

Lab Rat Model XLS Nomad

Lab Rat Model S

Lab Rat Model M

SH Scientific

SH Sci 150 Liter Autoclave

SH Sci 150 Liter Baskets

SH Sci 100 Liter Autoclave

SH Sci 60 Liter Autoclave

Flocube

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FloCube Flow Hood, 4 x 2ft

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FloCube Flow Hood, 3 x 2ft

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FloCube Flow Hood, 2 x 2ft

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FloCube 18 inch Heat Sealer

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FloCube Stand for 18 inch Heat Sealer

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FloCube 16 inch Heat Sealer

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FloCube 16 inch Heat Sealer

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FloCube 48 inch Riser

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FloCube 36 inch Riser

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FloCube 24 inch Riser

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FloCube Hepa Filter 4 x 2ft

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FloCube Hepa Filter, 3 x 2ft

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FloCube Hepa Filter, 2 x 2ft

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FloCube 2 x 4 ft Cover

Unicorn Bags

check inventory sheet

XLS-A-1000

XLS-A-500

1000 Horizon – Unicorn Bags XLS-A

UN-XLS-A-500-HZ

14-A-1000

14-A-500

14-A-150

UN-14A-WITH-XLS-A FILTER-1000

XLS-T-1000

XLS-T-500

3-T-1000

3-T-500

3-T-150

10-T-1000

10-T-500

10-T-150

10-T-1000-INJECTION

4T-INJ – 1000

UN-10A-50

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XLS-T INJ 1000 (Injection Port)

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XLS-Biod

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XLS-A-S

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XLS-A-H

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XLS-B

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3-B

Canners and Sterilizers

All American 925 Cooker

All American 921 Cooker

All American 930 Cooker

All American 941 Cooker

All American 75X – 240V

All American 75X – 120V

All American 1941

All American 50X – 120V

Mush All American

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All American CANNERS

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Quantity

Sterilizers

Quantity

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Presto 23 Qt Canner

BBQ Pellets

100% Oak BBQ Qty 40#

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Total Orders 40s

Total Orders 20s

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Total Bags 40s

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Total Weight 40s

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Total Bags 20s

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Total Weight 20s

Total Bags &

Total Weight

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Total Bags

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Total Weight

Shipping:

Shipper

Shipping Actual (admin use only)

Shipping Charged

Sales Certificate on File (admin use only)

Has Export (admin use only)

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DELETE Shipping Actual

Delivery Appointment – $15

Yes

No

Call Ahead – $15

Yes

No

Secondary Shipper

none

Denver Air

Gofer

Delivery Instructions

Is there anything else we need to know?

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Innoculated Blocks – 1300# Mossy Creek/ManOWar

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100% Hemp 40#

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Test Selection

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ZMixed Pallet Oak Pellets/Non-GMO Oat Hull Pellet

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Pallet Forwarding Fee – Riverside

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ZZZ_Pellet Crumbling (per ton)

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Riverside Pallet Wrapping (per ton)

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Mixed Pallet

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FloCube 2 x 2 ft Cover

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FloCube 2 x 3 ft Cover

Oak-Soy-Wheat Midd Pellets

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