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International Inquiry Form

In order to better serve our international accounts, it is necessary that companies outside the United States inquiring about international shipments of Briess products complete this form in its entirety. Leave no blanks. All information is required in order to process your inquiry. We will not share your information with anyone outside of Briess. Thank you for your interest in Briess Malt & Ingredients Co.

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*First Name:
*Last Name:
*Title/Position:
*Company Name:
*Address 1 (street address):
Address 2 (P.O. Box):
*City:
*State/Province:
*Zip/Postal code:
*Country:
*Phone:
*Fax:
*Email:
*Web site address:
*FedEx or DHL Acct#:
*# of employees:
*Annual sales in USD:
*Estimated annual volume:

*Products/Customers You Represent:

*Briess ingredients you are interested in:

*End application(s):

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   Briess Malt & Ingredients Co.
   625 S. Irish Rd.
   PO Box 229
   Chilton, WI 53014

   T: (920) 849-7711
   F: (920) 849-4277
   Toll Free: 800-657-0806
   Order Fax: 800-888-6258