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Use this form to input data for Mills Directory: fields may be left blank if not needed.
Go Direct to Mill Location Input below:      Go Direct to Product Line Input below:
COMPANY INFORMATION
Company Name:
 Internet Address:(URL)
Street Address

City:

State/Province:

ZIP/Postal Code:

Country:
Telephone:

Telefax:

Telex:
 Easylink:

Cable:

Email:
Mail Address (If Different)

City:

State/Province:

ZIP/Postal Code:

Country:
MILL LOCATION(S)
Mill Location 1
City:
State/Province:
ZIP/Postal Code: Country:
Street Address
Telephone:

Telefax:

Telex:
 Easylink:

Cable:

Email:
Mail Address (If Different)

City:

State:

ZIP
Mill Location 2
City:
State/Province:
ZIP/Postal Code: Country:
Street Address
Telephone:

Telefax:

Telex:
 Easylink:

Cable:

Email:
Mail Address (If Different)

City:

State:

ZIP
Mill Location 3
City:
State/Province:
ZIP/Postal Code: Country:
Street Address
Telephone:

Telefax:

Telex:
 Easylink:

Cable:

Email:
Mail Address (If Different)

City:

State:

ZIP
Mill Location 4
City:
State/Province:
ZIP/Postal Code: Country:
Street Address
Telephone:

Telefax:

Telex:
 Easylink:

Cable:

Email:
Mail Address (If Different)

City:

State:

ZIP
Mill Location 5
City:
State/Province:
ZIP/Postal Code: Country:
Street Address
Telephone:

Telefax:

Telex:
 Easylink:

Cable:

Email:
Mail Address (If Different)

City:

State:

ZIP
PRODUCT LINE
Class of Rice:
Brand Names:
Products Sold: