Page 1 of 1

Dealer Application

Do you have a physical storefront location? Required

A
B

What type of business do you operate?


Do you currently sell animal or livestock feed at your business?

A
B

Can your business accept semi/tractor-trailer deliveries and unload pallets? Required

A
B

Is there a Mid South Feeds dealer within 12 miles of your location?

A
B
C

Have you contacted us about becoming a dealer before?

A
B

How many customers do you serve monthly?

Comments or Questions?