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[uacf7-col col:6] Mobile Number* [phonetext* phonetext-811 minlength:10 numberonly placeholder "+910000000000:"] [/uacf7-col]
[uacf7-col col:6] Your email* [/uacf7-col]
[uacf7-col col:6] Your Name* [/uacf7-col]
[uacf7-col col:6] Company Name: [/uacf7-col]
[uacf7-col col:6]Telephone Numbers* [/uacf7-col]
[uacf7-col col:6] Your City* [/uacf7-col]

[uacf7-col col:6]Your Country*[countrytext* countrytext-686 placeholder "Select"] [/uacf7-col]

[uacf7-col col:6]Products* —Please choose an option—Brown Basmati RiceBrown Rice Medium GrainBrown Rice Round GrainParmal Creamy Sella RiceSona Masoori Steam RiceSona Masoori Parboiled RicePusa Creamy Sella Basmati RicePusa Golden Sella RicePusa Raw Basmati RicePusa Steam Basmati RiceIR64 Long Grain Parboiled RiceIR64 Parboiled Broken RiceIR64 Long Grain White RiceHR 47 Creamy Sella RiceLdly Parboiled 5% Broken RiceSugandha Creamy Sella RiceSharbati Creamy Sella RiceSugandha Steam RiceSugandha Golden Sella Rice1121 Parboiled Basmati RiceXL Long Grain Golden Sella Rice1121 Golden Sella Basmati Rice1121 Extra Long Grain Basmati Rice1121 Sella Basmati Rice1121 Creamy Sella Basmati Rice1121 Steam Basmati Rice1121 Raw Basmati Rice1509 Steam Basmati Rice1509 Creamy Sella Basmati Rice1509 Golden Sella Basmati Rice1509 Sella Basmati RicePR11/14 Creamy Sella RicePR11/14 Golden Sella RiceRound Grain White RiceSharbati Steam RiceSharbati Golden Sella Rice1718 Raw Basmati Rice1718 Steam Basmati Rice1718 Creamy Sella Basmati Rice1718 Golden Sella Basmati Rice1401 Steam Basmati Rice1401 Creamy Sella Basmati Rice1401 Golden Sella Basmati Rice1401 Raw Basmati RiceTraditional Raw Basmati RiceTraditional Creamy Sella Basmati RiceParmal Golden Sella RiceSwarna Parboiled 5% Broken RiceSpices & SeedsFenugreek SeedsCumin SeedsCoriander SeedsPsyllium HuskCardamonBlack pepperSesame SeedsCarom SeedsFoxnuts / MakhanaWheatMaizeChickpeas [/uacf7-col]

[uacf7-col col:6] Packing Size* —Please choose an option—0.500 gm1000 gm/kg2 kg5 kg10 kg20 kg25 kg30 kg35 kg40 kg50 kg1000 kg Jumbo Bag [/uacf7-col]
[uacf7-col col:6]Packing Type* —Please choose an option—Box PackingBrown Jute PackWhite Jute PackPP BagBOPP BagLDPE BagHDPE BagJarsCard Box PackMaster Carton PackJumbo Bag [/uacf7-col]

[uacf7-col col:6]Choose Payment Option*
—Please choose an option—30% Advance, 70% on Copy/ Draft BLConfirmed SBLC (Issued by Your Bank)Confirmed LC (Issued by Your Bank)[/uacf7-col]

[uacf7-col col:6] Quantity (MT)* [/uacf7-col]
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[group ConfirmedSBLC]
Provide Your Bank Details*

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[group ConfirmedLC]
Provide Your Bank Details*

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