Contract Killerz Offal Request Form

Offal Request Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Harvest Date

MonthDayYear
Date
Would you like to save...

Other
If Other Please Describe
***All items saved become the responsibility of the owner to clean, cool, and package. Contract Killerz assumes no liability for any offal items that are not delivered to the desired processing plant. By signing below you are aknowledging that all liability for any offal product is assumed by signer.
Signature
Should be Empty: