Pork Order Form

Pork Order Form

3865 Blackburn Hollow Rd - Pulaski, TN PH: 931-888-MEAT - Email: info@BrickChurchMeats.com
Name*

First NameLast Name
Producer 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
Yes Use My LogoNo Do Not Use My LogoI am a returning Pork customer use my Logo on file
Upload Your Logo Here:

PNG, JPG images only
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Special Note:

Please make a selection under EACH category.

Any meat left over from your selections will be ground into ground sausage or will be left to Butcher's discretion.
Whole HamHalf HamI Don't Want HAM
YesNoDon't Slice THE HAM/I DON'T WANT HAM
If SLICED, HOW THICK DO YOU WANT THE HAM SLICES?
HOW THICK DO YOU WANT YOUR HAM SLICES?
Number Per Pak
BONE - INBONELESSI DON'T WANT PORKCHOPS
Number Per Pak
NOTE: TENDERLOIN IS ONLY AVAILABLE IF YOU HAVE ALSO ORDERED BONELESS PORK CHOPS.
WHOLE TENDERLOINSLICED TENDERLOINI DON'T WANT TENDERLOIN
IF SLICED, HOW THICK DO YOU WANT YOUR TENDERLOIN SLICED?
YES, I WANT PORK STEAKSNO, I DO NOT WANT PORK STEAKS
PORK STEAKS - THICKNESS
Number Per Pak
WHOLEHALFI DO NOT WANT BOSTON BUTT
WHOLEHALFI DO NOT WANT PICNIC SHOULDER
YES, I WANT CUTLETSNO, I DO NOT WANT CUTLETS
HOW MANY CUTLETS IN A PACK?
HOW MANY CUTLETS IN EACH PACK?
WHOLEHALVEDI DO NOT WANT RIBS
1 lb packs2 lb packs
MILDHOTGROUND PORKI DO NOT WANT SAUSAGE
WHOLESLICEDI DO NOT WANT BACON
THICKTHINI DO NOT WANT BACON
YES, CURE THE BACONNO, DO NOT CURE THE BACONI DO NOT WANT BACON
YESNOI DO NOT WANT HOG JOWL
YESNOI DO NOT WANT HOG JOWL (SMOKED)
Specialty Instructions:
Specialty Cuts or Special Instructions
Freezer Fee: Orders must be picked up within three days of notification that your order is completed. After the 3rd day, a $10 per day freezer storage fee will be charged.
FOR OFFICE USE ONLY:

DATE: ___________________________

Tag#: _____________________

Whole: __________ Half: ___________

Live Weight: ______________ Hang Weight: ____________

USDA - Label #: ______________________ Custom: __________________
Should be Empty: