Order Form - Oil-Dri Corporation of America

** IMPORTANT NOTE **
Oil-Dri only sells through authorized distributors. Do not fill out this form if you are not a current Oil-Dri distributor. If you are interested in becoming a distributor, Please fill out the contact form at https://oildri.net/Contact.php. If you are not a distributor and wish to purchase Oil-Dri products, please email sorbentinfo@oildri.com and we will contact you with a distributor in your area.
Date*
MM slash DD slash YYYY
Distributor Info*
Name Account #
Phone*
Email*
Bill to Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Ship To Address
- Same as Bill To Address
Different Ship to Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Product Types Ordering*
Click all that apply
- Granular Clay
- Pads / Rolls / Socks /Pillows
- Spill Kits
- Sweeping Compound
- Other
If Ordering Oil-Dri Granular Clay Absorbents...
**NOTE** Absorbent clay must be ordered in full truckload quantity
Choose the Oil-Dri Production Facility to ship from.
If you don't know, please leave this section blank
- Ochlocknee, GA
- Ripley, MS
- Taft, CA
Order*
Item Number Unit of Measure Quantity

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Notes
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Email
This field is for validation purposes and should be left unchanged.

Item Number	Unit of Measure	Quantity

** IMPORTANT NOTE **