| Name: | |
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| Zip/Postal code: | |
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| Email address: | |
| Phone number (include country/area code): | |
| Type of seed(s) to be processed: | |
| Daily seed process capacity desired: | |
| Available voltage supply: | |
| Desired hours per day of operation: | |
| Total annual seed processing requirement: | |
| Desired Product: | |
| Other requirements: | |
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