Business Name*

Contact Name*

Email*

Phone Number*

Shipping Address*

City*

State*

Zip Code*

Billing Address*

City*

State*

Zip Code*

How would you like to receive your product?*

—Please choose an option—Pick up at Seedbox Solution Warehouse in Good Hope, ILRequest Freight Rate

How many seed boxes would you like freight rate for?*

(A full truckload is 66 boxes)

Do you have a forklift to unload?*

—Please choose an option—YesNo

Do you have a loading dock?*

—Please choose an option—YesNo

Can a 53' semi trailer get in and out of site?*

—Please choose an option—YesNo

Is your ship to location rural out of town?*

—Please choose an option—YesNo

Do you have a pallet jack?*

—Please choose an option—YesNo

Do you have personnel to offload the boxes?*

—Please choose an option—YesNo

Do you want a call prior to delivery?*

—Please choose an option—YesNo

What are your receiving hours?*

Are your purchases subject to state sales tax?*

—Please choose an option—YesNo (exempt)

If exempt, provide a tax-exempt, or resale certificate using the following upload field. Please keep your file size below 4MB.

Acceptable File Types: .gif, .png, .jpg, .jpeg, .pdf

How did you hear about Seedbox Solution?

—Please choose an option—FacebookPrint AdvertisementGoogle SearchTextDirect MailReferralOther

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