Seed Request – Quaker Lane Enterprises (QLE)

Type of Request*
Name of Grower*
First Last
Phone
Text Message Agreement*
- Yes, I want to receive text messages at the number above.
- No, I do not want to receive text messages from QLE.
Email*
Crop*
- Corn
- Soybeans
- Wheat
Hybrid Variety
Delivery Location*
- Take it to my farm
- Bring it to my field
Field Location for Delivery
Field Location for Replant
Photo or Video Uploads
Drop files here or
Additional Information
Agreement*
I consent to having QLE Seed and this website store my submitted information so they can respond to my seed request via my preferred communication preferences.
I agree*
Name
This field is for validation purposes and should be left unchanged.