Proximity Malt Sample Request & Virtual Tour

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Schedule a time to discuss with your dedicated rep the quality malt Proximity consistently offers along with the variety of quality regional malts and adjuncts available through our robust regional supply chain.

First Name *

Last Name *

Brewery Name - City, State *

Date Requesting Personal Virtual Demo

YYYY

Time Requesting Personal Virtual Demo

Time

Sample Request (Y/N)

Yes

If Yes, which Malt do you want samples of?

Please select desired malt. *possible organic options available **indicates possible exemption from Proximity discount programs

*Base (2)

Mid-Atlantic Wheat (3)

Super Extract Wheat (3)

*Pilsen (1.8)

Pale Ale (3.5)

Distillers

White Wheat (3)

Vienna (3.5)

Munich (10)

Prox Mild (6)

Prox Red (18)

Rye (4)

Crystal Rye (80)

Chocolate Rye (225)

Oat Malt (2.5)

Crystal Wheat (60)

Chocolate Wheat (400)

Caravienne (20)

Caramunich (60)

Dextrin (3)

*Crystal (15)

Crystal (30)

*Crystal (40)

Crystal (60)

Crystal (80)

Crystal (120)

Crystal (150)

Biscuit (20)

*Pale Chocolate (300)

Chocolate (350)

*Dark Chocolate (400)

*Pale Roasted Barley (325)

*Roasted Barley (475)

*Black Malt (500)

**Lactose

**Hulled Flaked Barley

**Flaked Corn

**Flaked Oats

**Rolled Rye Flakes

**Rolled White Wheat Flakes

**Rice Hulls

Other

Clear selection

Brewery Output (est'd in bbls/year)

1-499 bbls/year

500-999 bbls/year

1000-2499 bbls/year

2500-4000 bbls/year

5000 bbls/year +

Clear selection

Current 'Go-To' Malts (Base & Roast)

Notes

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