Order Form
Please fill out the form below and click the "Submit Order" button to complete.

* Customer Name:
Farm Name:
Customer Number:
Order Date:
Time:
* Date Required:
* Billing Address:
* Fields are mandatory.
* Delivery or
Pick Up:
Pick up | Delivery
Delivery
Address:
* Delivery Instructions:
* Ordered By:
* Phone:
Email:


Is this a repeat order? No | Yes
Description Item # Bin # Quantity Bulk or Bags Auger or Blower
A representative may contact you to verify quantity and order details. New customers will be contacted to confirm quantity,
order details, and payment terms.  New customers need to complete a Kenpal Account Application Agreement before starting an account.
We require at least 24 hours notice for delivery of product.

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