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PLACE AN ORDER
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PLACE AN ORDER
Order Number
First name
*
Last name
*
Contact Number
*
Email
Product
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Peanuts
Soybeans
Chick peas
Pigeon Peas
Rose Coco beans
Green Mung
Red kidney Beans
Maize flour
Cassava flour
Sunflower oil cakes
Maize bran
Maize
White Millet
Red Millet
Other
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Demanded weight/portion
Remarks/Special notes
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