Grain Offer Form

Please Fill Out Information Below and Russell Grain Represenative will contact you shortly regarding your request.

- Thanks, Russell Grain Team

All Forms Submitted are not guaranteed to be Fulfilled. Submissions are not a binding agreement. A Russell Grain Represenative must contact you in order to fulfill any forms submitted. Russell Grain is not responsible for incorrect forms or technical difficulties in filling out or sending of this form.

First Name
Last Name
Street Address
City
State
Zip Code
Home Phone
Work Phone
Email
Crop Information:
Contract Type: * HTA
Cash
Basis
Crop * Corn
Soybeans
Wheat
Qty: (# of Bushels) *
Delivered Date to Russell Grain: *
Delivered Too: * ADM
Cargill
CHS
Sunrise
Laharpe
Aventine
Roquette
WGM
Price Per Bushel Request: *
By Signing Below I have insured the information that I have filled in is correct. I have agreed that this form is not a binding agreement and will only be finalized when a Russell Grain Represenative contacts me. I ensure that I have read all parts of this form and understand. Please Sign Below:
Electronic Signature: *
* Required field

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