Potato Products

Trade Lead Form

CONTACT INFORMATION

Company Name:

Date:

Contact: *

Address: *

City: *

Province/State: *

Postal/Zip Code:

Country: *

Email: *

Phone Number:

Fax Number:

PRODUCT INFORMATION

Product Destination:

Product(s) Requested:

Cut/Specialty Type:

Grade:

Use (HRI/Retail):

Quantity:

Package Requirements:

Additional Notes