Farm Raised Chicken Order Form
The LHS Agricutlure Program has raised and packaged whole broiler chickens. We are selling these birds for $3/lb and profits from this program will help us expand this program. Payment can be accepted by cash or check at time of pickup. Please complete the form below to reserve your order!
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
How many whole chickens would you like to purchase?
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Pick up Method
Please Select
Delivery to classroom
Pickup by LHS Student
Pickup Monday at Ag Dept Shop Door 8-9am
Pickup Monday at Ag Dept Shop Door 12-3pm
Other- Please contact me
Preferred Average Weight
Please Select
4 lbs
5 lbs
6 lbs
No preference
Submit
Should be Empty: