Broken Birch Acres Order Form

Order Form

Thank you for choosing to shop at Broken Birch Acres! Please enter the quantity of each item you'd like to purchase next to the product name below. Scroll to the bottom to complete the form with your contact information so we know where to send your order. If you have any questions, don’t hesitate to reach out to us at 778-996-7803 We’re here to help! Thank you for supporting local farming with Broken Birch Acres – your source for pasture-raised chicken, pork and grass-fed beef
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Method of Payment (Please allow 48 hours for me to respond to your request. I will contact you with your total, and to provide payment details):
Preferred pickup location:

Other
Preferred pickup date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Products Available

Organic & Non-GMO, Pasture-Raised, No Antibiotics or Hormones
Bacon - $14 per lb
Pork Chops - $13.50 per lb
Pork Butt Steak- $13.50 per lb (approx. 1.5-2lb per pack)
Sausages - $15/lb
Bone-in Ham - $14 per lb
*The prices above are an ESTIMATE ONLY. Because most items are charged by the pound we will not know your exact total until your order is packed. We will send you an invoice for approval
Questions:
Should be Empty:

Order Form