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Pea Ridge Gamebird Hatchery

MAIL ORDER FORM

 

Please Print this form, fill it out & send it to us at :
 
DAVE & JANE STORM
Pea Ridge Gamebird Hatchery
1330 Hwy V
Hartville Missouri 65667
Phone: 417 741 7737

Please make check payable to:
DAVID OR JANE STORM
 
Name............................................................................................................
Address.........................................................................................................
City....................................................State......................Zip Code...............
For Order Confirmation:
E-Mail Address..............................................................................................

Phone #..........................................................................................................

State or Federal Game Bird License #..................................
Ship USPS Priority Mail.........................                    Ship ASAP..................
Ship USPS Express Mail.........................           Do not Ship before...............
(Quanity) (Eggs/Chicks) (Type of Bird) (Price ) (Total)

1_______________/__________________/___________________________________/_______________/____________

2_______________/__________________/___________________________________/_______________/____________

3_______________/__________________/___________________________________/_______________/____________

4_______________/__________________/___________________________________/_______________/____________

5_______________/__________________/___________________________________/_______________/____________
SUBTOTAL: $_________.____

SHIPPING COSTS: $_________.____

TOTAL $_________.____

30% DEPOSIT (Required for placement of order) $_________.____
Note: Orders are shipped according to deposit placement date.*

Balance due prior to shippment: $_________.____

There is a mim. order of day old chicks for shipment. 25 Pheasants / 50 Quail. Most chicks will be shipped Priority Mail unless specified Express Mail.
 Eggs will be shipped Priority Mail. All orders must be paid in full before shipment can be made.
 We accept money orders, cashiers checks, & personal checks.
If you send a personal check, please allow 2 weeks for check to clear.
Or you may use your credit card on our secured on-line server.
 *Order will be placed on day check clears.

****ORDERS PLACED ACCORDING TO DATE $ IS RECEIVED****

K Bar K Ranch & Game Bird Hatchery