Equine Affair Feed Store Order From

Equine Affair Feed Store Order Form

Ph: 413-205-5307; email: FStore@thebige.com
Contact Person

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone

Area CodePhone Number
Estimated Arrival

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDateHourMinutesAM/PM Option
Farm Name
Barn/Stall Location
Note: Stall assignments are determined by Equine Affair Staff at the time of arrival.
Tax Exempt
*Certificate must be provided

Single Bag Shavings

$9.50 Quantity
Item subtotal:

Pallet of Shavings

45 Bags

$384.75 Quantity
Item subtotal:

Small Straw Bales

40lbs.

$11.00 Quantity
Item subtotal:

1st Cut Hay Bales

$10.50 Quantity
Item subtotal:

2nd Cut Hay Bales

$12.50 Quantity
Item subtotal:

Equine: Safe Choice Senior

MA 6.25% sales tax included

$33.70 Quantity

Equine: Triumph 12% Pellet

MA 6.25% sales tax included

$21.95 Quantity

Stock and Stable 12% Textured

MA 6.25% sales tax included

$18.25 Quantity

Alfalfa Pellets

$22.90 Quantity

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Equine Affair Feed Store Order Form