Back Creek Bend Farm
6274 Hedgesville Rd.
Hedgesville, WV 25427

Corn-Fed Beef

Please circle your choice

Amount ordered:                Whole                                   Side                           

Amount Deposited:              $300                                  $200                                    

Pick-up date (circle one):                       Available year round.  Delivery dates mutually agreed upon.

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

___________________________________________________

Your Contact Information:

Name:  _______________________

Address: _______________________________________________________________

Telephone: ________________                           Email: ______________________