Slaughter Appointment Request Form

1
Name* This field is required.
First Name
Last Name
2
Address where Animal is Located* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Species* This field is required.
Beef
Hog
Lamb
Goat
Other
4
Quantity of Animals* This field is required.
5
Mobile Phone Number* This field is required.
Please enter a mobile valid phone number. This will be the number that receives text updates with the progress of your animal.
6
Email* This field is required.
example@example.com
7
Slaughter Date Requested
This date will represent your ideal Slaughter Date, your actual Slaughter Date may vary from this date.
Month
Day
Year
8
Type of Scheduling* This field is required.
Slaughter Appointment Request - Marco Valencia
Slaughter Appointment Request - Premier Livestock Services
Slaughter Appointment Request - First Available Slaughter Butcher
Slaughter Appointment Request - Self Slaughter
Slaughter Appointment Request - Other Slaughter Company (If selected input the Slaughter Company you desire to use in the comment box below. If approved by our management an appointment may be confirmed.)
9
Have you already confirmed a date with a Slaughter Butcher?
Yes
No
No, this is my first contact.
10
Questions/Comments
11
Chase's Chop Shop Policy Acknowledgments* This field is required.
I Agree to provide Processing Instructions for my animal(s) via this website (www.chaseschopshop.com) within 24 hours of my animal being Harvested.
I understand if I have not provided Processing Instructions within 24 hours of my animal(s) being Harvested, a Standard Cut may be issued.
I Understand all parties involved with these processed animals shall provide Processing Instructions for their portion within 24 hours of Harvest.
I understand the charges associated with processing animals and agree to pay all charges in full within three days after the completion of my animal.
I understand that all slaughters are performed by outside contractors not Chase's Chop Shop employee's.
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