PRODUCT ORDER FORM

     PRODUCT

ORDER FORM

Name: Address: Phone: Email: Product

Resealable 1kg

Fax:

Resealable 1kg

5kg

10kg

25kg

QTY

QTY

QTY

(Qty 2+)

QTY STONE GROUND FLOUR Besan Flour GF Buckwheat Flour (China) GF Millet Flour GF Pearled Barley Flour Red Sorghum Flour GF Rye Flour Unbleached Spelt Flour ORG White Sorghum Flour GF

QTY

Wholemeal Spelt Flour ORG Yellow Pea Flour GF

MEAL PRODUCTS Linseed Meal Millet Meal

WHOLE GRAIN PRODUCTS Buckwheat Kernel (China) Canola Seed Hulled Millet Linseed Pearled Barley Red Sorghum Grain Triticale Wheat

PUFFED PRODUCTS

Resealable 200g

Resealable 200g (QTY 2+)

Puffed Barley

1kg

25kg

Puffed Brown Rice Puffed Buckwheat Puffed Millet Puffed Red Sorghum

All products are Halal and Kosher certified. GF = Gluten Free ORG = Organic

You can forward your order to us via: Email: [email protected] Fax: 03 5762 5495 To make things a little easier for our customers we will be launching our online store shortly stay tuned and subscribe to all the latest BRI by visiting our website.

Please deposit payment to: Account Name: MIRFAK PTY LTD BSB: 033209 ACC: 630055 Reference: Name