First Name*
 
 
Last Name*
 
 
 
Email*
 
 
Phone Number*
 
 
 
Company Name*
 
 
CMG Sales Rep Name
 
 
 
 
 
Which samples are you interested in trying?
  
 
Premier Flaked Oats (CM-FBOT - 3oz.)
 
 
 
Premier Flaked Wheat (CM-FBWH - 3oz.)
 
 
 
Premier Flaked Rye (CM-FBRY - 3oz.)
 
 
 
Premier Flaked Barley (CM-FBBA - 3oz.)*
 
 
 
*Flaked Barley samples will be available in mid-September! 
 
 
 
Mailing Address*
 
 
 
City*
 
 
State / Province*
 
 
 
Country*
 
 
Zip / Postal Code*
 
 
 
Questions and Comments