ORDER FORM     

Name:____________________

Address:__________________

City/State/Zip:______________

Phone:___________________

I will pick up my order.________

Please ship.___________

Preferred shipping date:___________________

  Chicks or Adults:_____________

Qty:______Price each:_______

x Price Per Bird:___________

= Subtotal:________________

+ 15% Shipping:___________

= TOTAL DUE:____________

-25% Deposit:_____________

BALANCE DUE:___________

Description:   #_______Roosters      #_______Straight Run     #_______Day-Old Chicks

 We appreciate your business and thank you for your order. Please call with any concerns or questions.