Company Name:

Address1:

Address 2:

City:  State/Prov.  Zip:

Phone:       Fax:

Email:

Primary Contact:

Primary Contact Title: 

Secondary Contact:

Secondary Contact Title:

Director of Marketing:

Head of Research & Development:

Check which patterns you are interested in:

FarmLand™ Gold    FarmLand™ Green   FarmLand™ Corn Belt™

FarmLand™ Big Marsh*        FarmLand™ Double Woods*

  *When Available

What type of products would you like to manufacture?

What existing camouflage patterns are you currently using?

What fabrics are currently being used?

From whom were fabrics purchased?

What are your channels of distribution?

Do you have a website?  Yes  No

If so, what is your website address?

Questions or comments?

Note:  Please send a copy of your company's brochure, product description or photos to FarmLand™ Camouflage • 628 Hwy 2 East • Grand Rapids, MN  55744.  Digital images or other electronic media can be sent to orders@farmlandcamo.com.  All information received is kept confidential.