Siemer Milling Company prefers to mill flour to your specific analysis and needs. Please fill out all the information you can to help ensure that we supply the correct flour for your specific need.
Name (required):
Company (required):
Address:
City, State, Zip:
Phone (required):
Email Address:
Product:
Flour
Wheat Bran
Wheat Germ
Clear Flour
Intended Application (flours):
Bagel
Batter
Biscuit
Bread
Breading
Cake
Cereal
Cone
Cookie
Cracker
Donut
English Muffin
Gravy
Pastry
Pancake
Pie
Pita Bread
Pizza Dough
Pretzel
Roll
Snacks
Soup
Tortilla
Other
Intended Application (Wheat Bran, Wheat Germ):
Breads
Cat Food
Cereals
Dietary Supplement
Dog Food
Industrial
Livestock
Fiber Fortification
Snacks
Vitamin
Type of Business:
Confectionery
Distributor
Food Service
Mix Manufacturer
In Store Baker
Institutional
Private Label
Wholesale Baker
Retail
Snack Foods
Volume Per Month:
less than 25,000 pounds
less than 500,000 pounds
less than 250,000 pounds
greater than 1,000,000 pounds
Packaging Required:
50 lb. bags
Totes (Bran and Germ Only)
100 lb. bags
Bulk Pneumatic Tankers
Rail
Hopper/Dump Trucks (Bran Only)
Is the flour sample requested for a new product or a product you are currently
producing? New Current
If flour specifications are available, please include the analytical requirements on your current flour:
Protein:
Moisture:
Ash:
Any other pertinent information:
We will be sending a five (5) pound sample. If you need an additional amount, please identify the amount needed below:
10 pounds
25 pounds
50 pounds
100 pounds
Other
Mail or Fax printed form to:
Siemer Milling Company PO Box 670 Teutopolis, IL 62467 Phone: (800) 826-1065 Fax: (217)857-3092
