Port-O-Pit Purchase Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Pay online or pay invoice
*
Pay online
Send me an invoice
1/2 Chicken
$8.50 per
Full Chicken
$17 per
Total
Total amount due ${total}
Total Cost - Purchase Chicken
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next
( X )
USD
We accept credit cards, but include a processing fee of 3%.
Credit Card
Purchase
Should be Empty: