Order Form
White Oak Mills Feed Order Form
This form is for existing White Oak Mills customers. New customers or individuals who haven't previously ordered feeds from White Oak should call White Oak's customer service department Monday through Friday, 7 AM to 5 PM to place the first feed order.
Customer / Farm Name
*
Customer Number (if available)
Phone
*
Email address of person submitting the order
*
Street Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Delivery address same as address above?
*
Yes
No
Ship To Number (if available)
Delivery Address
If different from street address, please enter the delivery address below:
Street Address
City
State / Province / Region
ZIP / Postal Code
Feed Information
*
Feed #
Feed Desc.
Quantity*
Bin #
Medication
Bulk or bags?
*Please specify number of tons or bags
Is there a formula change required for this order?
*
Yes
No
Requested delivery date
*
Date Format: MM slash DD slash YYYY
Delivery Time of Day
AM
PM
Can this order be delivered the day before requested delivery date?
Yes
No
Can this order be delivered 1 day after requested delivery date?
Yes
No
Comments
Would you like a White Oak customer service rep to confirm this order with you via phone?
Yes
No