Hog Order Form

Checks Payable to: Back Creek Bend Farm

6274 Hedgesville Rd.

Hedgesville, WV 25427

(304)582-9357

Whole/Half Hog

Please circle your choice:

Amount ordered:                            Whole ($2.19 p/lb)                               Side ($2.49 p/lb.)

Amount Deposited:                                 $300                                                     $200

Pick-up date:              Year-round. Pick up will be at our farm in Hedgesville, WV or other location agreed to by purchaser and seller.

Name(s) on order (no more than 4 names for a whole, 2 for a side):

______________________________________________________________________________

You Contact information:

Name:

Address:

Telephone:                                                                          Email: