MOEWS SEED ORDER FORM

Please complete the appropriate sections as fully as possible.

CUSTOMER INFORMATION
*Name:
*Street/Box#:
*City:
*State:	*Zip code:
County:
*Phone #: Area code: Number:

DEALER INFORMATION
Number:
Name:
Street/Box#:
City:
State:
Zip code:

*Please enter your e-mail address:

* These fields are required in order to place an order online.

CORN HYBRIDS
2410VT3 3051VT3 3052VT3 3261VT3 3048VT3 3611VT3 3636VT3 3637VT3 3640VT3 3675VT3 3679VT3 3688VT3 3755VT3 3896VT3 3051BtRRRW 3768BtRRRW 1999RRRW 3636RRRW 3675RRRW 3636BtRW 3675BtRW 3636BtRR 3768BtRR	3681Bt 3613LL 3611CL 3896CL 2416HX 3680HX 3680HXT WM3657 WM3611 WM3896 2406RR 3051RR 3261RR 3611RR 3636RR 3896RR 3677RR 2411 2416 3611 3636 3639 3896

Enter the corn hybrid, grade size, and bag quantity
you want for each hybrid.

C O R N	HYBRID	SIZE	QTY	C O R N	HYBRID	SIZE	QTY

ALLIED LINES
MG177T MG177T-T MG188W MG188W-T MG420W MG420W-T MG444E MG444E-T MG466E MG466E-T MG488E MG488E-T MG555DR MG555DR-T	MOEWS400 MOEWS400-CT MZ CHOP 1 MZ CHOP 1S MZ GRAIZ 1 899 RED

Enter the Sorghum or Allied Lines variety and
bag quantity for each product you want.

S O R G H U M	VARIETY	QTY	A L L I E D L I N E S	VARIETY	QTY

Moews agrees to the best of its ability to deliver hybrids and/or grade sizes as ordered, and will make substitutions of hybrid and/or grade size only when absolutely necessary. If you do check the "Estimated Seed Supply" once you have started entering an order, use the back button on your browser to return to this order page to keep from resetting all of the information back to blanks on this order form. See our Warranty.

Please use this space for general comments or inquires you may have: