Order form is necessary only for advanced bulk orders at specific times of the year.  If you are not sure what to do, just send your order through the "orders" tab.

Order Form:  Pastured Chicken

Amount ordered (*$2.95 p/lb): Whole__________ Whole (cut up, add $2) __________

                              * Purchase of live bird.  All chickens are butchered for free.

Amount Deposited ($5.00): ___________________

Pick-up dates:                       Mutually agreed upon  

Contact Person for pork and/or chicken orders (no more than 1 per order).

Please fill out all fields.

Name: ___________________________________________

Address, State, Zip: __________________________________________________________

Telephone number: __________________________________

Email address: __________________________________

Total deposit: _______________________________

Deposits are non-refundable unless Back Creek Bend Farm is unable to fill the order.

Thank you for your Support!!!