Name *

Phone Number *

Email Address *

911 Address

City

Postal Code

Municipality or Township

County

SF Number (for chicken producers) *

Please choose a date

May 25, 2012June 1, 2012June 8, 2012June 15, 2012June 22, 2012July 6, 2012July 13, 2012July 20, 2012July 27, 2012August 10, 2012August 17, 2012August 24, 2012September 7, 2012September 14, 2012September 21, 2012September 28, 2012October 5, 2012October 12, 2012October 19, 2012October 26, 2012November 2, 2012November 9, 2012November 16, 2012November 23, 2012November 30, 2012December 7, 2012December 20, 2012

Please enter the number of birds you would like processed on this date in the chart below. You have ordered 0 birds. There are 1213 birds left

Chicken		Hens		Turkeys		Ducks
Pheasants		Partridge		Squab		Geese

Number of crates (optional)

Please indicate which of the following options you would like for your order by typing in the number(s) of birds to receive each option

Fresh
Frozen
Giblets
Weighed by Everspring
Cut into portions
Regular Poly Bag (twist tied closed)
Vacuum Packed (metal closure)

Please indicate whether you will be picking your birds on a Saturday or a Monday *

Saturday

Monday

If there are any further details or you are bringing more than one species of bird please type them here.

Type the words you see *

Please complete all required fields marked with *.