Customer Details:
This will help us serve you better.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Any special instructions to access the front area of your home where the cooler will be?
Any Food Allergies?
For The Weekend Of 11/04:
*
Sampler Plan ($55 Per Delivery)
Meat Plan ($85 Per Delivery)
Essential Plan (Two Cuts Of Meat, One Jam, One Pickled Item, One Rub) ($75 Per Delivery)
Premium Plan (5-7 Lbs Of Meat, Jam, Pickled Item) ($105 Per Delivery)
Chicken Eggs ($6/Dozen)
Duck Eggs ($8/Dozen)
Please Add Treat Club ($25.00) (Apple Pie Egg Rolls)
Skipping This Week (This is required to click if you aren’t ordering for this week)
For The Weekend Of 11/11
*
Sampler Plan ($55 Per Delivery)
Meat Plan ($85 Per Delivery)
Premium Plan (5-7 Lbs Of Meat, Jam, Pickled Item) ($105 Per Delivery)
Essential Plan (Two Cuts Of Meat, One Jam, One Pickled Item, One Rub) ($75 Per Delivery)
Chicken Eggs ($6/Dozen)
Duck Eggs ($8/Dozen)
Please Add Treat Club ($25.00) (Candy Corn Bark)
Skipping This Week (This is required to click if you aren’t ordering for this week)
For The Weekend Of 11/18
*
Sampler Plan ($55 Per Delivery)
Meat Plan ($85 Per Delivery)
Premium Plan (5-7 Lbs Of Meat, Jam, Pickled Item) ($105 Per Delivery)
Essential Plan (Two Cuts Of Meat, One Jam, One Pickled Item, One Rub) ($75 Per Delivery)
Chicken Eggs ($6/Dozen)
Duck Eggs ($8/Dozen)
Please Add Treat Club ($25.00) (Maple Fudge)
Skipping This Week (This is required to click if you aren’t ordering for this week)
Cooler Option (To Be Billed Immediately)
*
I will provide my cooler (No charge)
I would like to purchase my customer cooler from you (color/design may vary) ($20)
When it comes to payment, please select your preference.
*
Please bill me in full for the month.
Please bill me weekly.
Join The Paddox by Tribal Acres Shirt Club (2 Shirts A Month For $45) We will email you for your size. Savings of $5.00. You will get a shirt 2nd and 4th weekend.
*
No Thank You
Yes! Please Bill me on the 15th
We try to give you the most bang for your buck, but if you have special meat requests please let us know. We will try to honor it as much as possible. Please list all requests below.
Please select “I agree” to the following terms: My cooler will be out the night or day of my cooler delivery and I understand that there are no refunds, returns, or cancellations for the month I am committing to.
*
Please Select
I agree
Submit
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