 | Name: |
| |
| Phone Number: |
| |
| Mailing Address: |
| |
|
| City / Town: |
| |
|
| Postal Code: |
| |
|
| Email:
|
| Note: A copy of this form will be emailed to this address upon completion.
Send me this email as HTML instead of plain text.
|
|
| Select PICK-UP Location:
|
| |
|
BEEF |
| |
| STEAKS |
| |
| T-bone Steak Total #
| |
|
| Strip Loin Steak Total #
| |
|
| Sirloin Steak Total #
| |
|
| Round Steak Total #
| |
|
| Ribeye Steak Total #
| |
|
| Tenderloin Steak (approx 3/4 lb per pkg) Total #
| |
|
| Fillet Mignon Total #
| |
|
| ROASTS |
| |
| Blade Roast (approx 3-4 lbs) Total #
| |
|
|
Inside Round Roast (Boneless) (approx 3-4 lbs) Total #
| |
|
| Outside Round Roast (Boneless) (approx 3-4 lbs) Total #
| |
|
| Eye of Round Roast (Boneless) (approx 3-4 lbs) Total #
| |
|
| Cross Rib Roast (approx 3-4 lbs) Total #
| |
|
| Sirloin Tip Roast (approx 3-4 lbs) Total #
| |
|
| Prime Rib Roast (approx 3-4 lbs) Total #
| |
|
| OTHER BEEF PRODUCTS |
| |
| Beef Ribs - Finger Bones (pkg size approx 1.5 lbs) Total #
| |
|
| Lean Ground Beef Total # of packages
| |
|
Pkg sizes are 1, 1.5, or 2 lbs each. Please specify.
| |
|
| Hamburger Patties Total # of packages
(12, 1/4 lb patties per pkg, approx 3 lbs)
| |
|
| Stewing Beef (pkg size approx 1.5 lbs) Total #
| |
|
| Stir-fry Beef (pkg size approx 1.5 lbs) Total #
| |
|
| Beef Liver (pkg size approx 1 lb) Total #
| |
|
| Meaty Soup Bones Total #
| |
|
| Heart (each) Total #
| |
|
| Oxtail (each) Total #
| |
|
| Tongue (each) Total #
| |
|
| PORK |
| |
| Pork Tenderloin Total #
| |
|
| Pork Chops Total #
| |
|
| Pork Chops Boneless Total #
| |
|
| Pork Butt Steak Total #
| |
|
| Baby Back Ribs (pkg size approx 1-2 lbs) Total #
| |
|
| Pork Spare Ribs (pkg size approx 1-2 lbs) Total #
| |
|
| Hip Roast (approx 2-3 lbs) Total #
| |
|
| Loin Roast (approx 2-3 lbs) Total #
| |
|
| Shoulder Roast (approx 2-3 lbs) Total #
| |
|
| Side Pork Total #
| |
|
| Pork Hocks (approx 1 lb pkg) Total #
| |
|
| Lean Ground Pork Total # of lbs
| |
|
SAUSAGES |
| |
| All Beef Sausage Total # of lbs
| |
|
| Beef & Pork Sausage Total # of lbs
| |
|
| Breakfast Sausage Total # of lbs
| |
|
| Breakfast Sausage Patties Total # of lbs
| |
|
| Farmer Sausage Total # of lbs
| |
|
| Hot Italian Sausage Total # of lbs
| |
|
| Mild Italian Sausage Total # of lbs
| |
|
| Honey Garlic Sausage Total # of lbs
| |
|
| Gluten Free Sausage Total # of lbs
| |
|
| DELI COUNTER |
| |
| Garlic Ring Total # of lbs
| |
|
| Pepperoni Sticks Total # of lbs
| |
|
| Pepperoni Chub (sliced or unsliced) Total # of lbs
| |
|
| Salami Chub (sliced or unsliced) Total # of lbs
| |
|
| Cooked Ham Chub (sliced or unsliced) Total # of lbs
| |
|
| Cured Ham Hip (boneless) Maple Smoked Total #
(approx size 3-4 lbs)
| |
|
| Cured Ham Hip (boneless) uncooked Total #
(approx size 3-4 lbs)
| |
|
| Smoked Picnic Ham (approx 3-4 lbs) Total #
| |
|
| Ham Steak Total #
| |
|
| Pork Loin Burger Total #
| |
|
| Back Bacon Total #
| |
|
| Smokies Total # of lbs
| |
|
| Smoked Farmer Sausage # of lbs
| |
|
| Smoked Farmer Sausage Patties Total # lbs
| |
|
| Bacon - Hickory Smoked Total # of lbs
| |
|
| Bacon Ends - Hickory Smoked Total # of lbs
| |
|
| CHICKEN
|
| |
| Chicken Breast - Frozen Total #
| |
|
| Chicken Leg w/ Thigh Attached - Frozen Total #
| |
|
| Comments or Questions: |
| |
|
|
