LHYF Feed Order Request
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Name (First & Last) *
Phone Number *
Email Address: *
Order Date: *
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Delivery Date: (Delivery is every Thursday @ 6pm at City Park) *
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HOG FEEDS: Please check all of the following you would like to order (below this question you will give quantities for each):
Below please tell us the quantity of each of the above hog feeds you need to order.
HOG SUPPLEMENTS: Please check all of the following you would like to order (below this question you will give quantities for each)
Below please tell us the quantity of each of the above hog supplements you need to order.
CATTLE FEEDS: Please check all of the following you would like to order (below this question you will give quantities for each):
Below please tell us the quantity of each of the above cattle feeds you need to order.
CATTLE SUPPLEMENTS: Please check all of the following you would like to order (below this question you will give quantities for each)
Below please tell us the quantity of each of the above cattle supplements you need to order.
OTHER SUPPLIES: Please check all of the following you would like to order (below this question you will give quantities for each):
Below please tell us the quantity of each of the above other supplies you need to order.
Payment Type: *
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