Name: _______________________________      Hanging Weight: _________________
 Phone #: _____________________________      
Address: _____________________________        Date of Drop off: _________________
Email:_______________________________              
             					                  Roast size# ________________   

Steak & Chops   ¾ __   1__   1 ¼ __   Other ____	  
How many in package: ___________               Circle: Heart, Liver, Tongue, Kidney, Tail 
                                                                                    Head & Feet (notify at drop off) 
  PORK__ 	                                                                                                          2026
	  
Shoulder:       Roast__      Smoked__   	                           Leaf Lard       Yes__     No__
B/I or Boneless   Steak __     Grind__	  
                                                                                          Back Fat       Yes __    No __  
Butt:               Roast __   Smoked__ Grind__	  
B/I or Boneless    Steak__     Country Style Ribs__        Hocks    Yes__ Smoked__   No__              
 	  
Loin:              Roast __     Smoked__                                 Tenderloin    Yes__     No__
                               Chops __    Boneless__                        Sirloin Cutlets   Yes__    No__  
          							
Bacon:            Smoked__	 		                      Ribs          Yes__    No__
                        Fresh__ Whole__Slab__Sliced__
Sliced:            Regular__
                       Other__                                                    Jowls         Yes__   Smoked__
                                                                                                 Sliced__ Whole__ Grind__
Ham: 	B/I or Boneless
Smoked__                                                                                                                                                               
                         Fresh__ 
                        Whole__                                               
                        Cut in Half__                                       
                        Steaks__ 
                        Grind__    

Sausage Size: 1#__ 2#__ Other__  
Grind: Fine___    Coarse___

* Please choose                               Seasoning     Plain__   Breakfast__   Maple Breakfast__                
   1 seasoning per pig*                                  Sweet__   Bratwurst__   Kielbasa__
                                                                              Hot__      Chorizo__