pork cut form template

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Farm or Farmer *

Bacon - Sliced or Whole? *

Sliced Whole

Bacon - Smoked or Fresh Bellie? *

Smoked Fresh Bellie

Bacon - How many lbs. per pack? *

Boston Butt - Roast or Sausage? *

Roast Sausage

Boston Butt Roast Options (skip this section if you chose "sausage" above)

Boston Butt - Smoked or Fresh *

Smoked Fresh

Boston Butt: Bone-In or Boneless *

Bone-In Boneless

Boston Butt - Halves or Whoe *

Cut In Half Whole

Picnic Shoulder Roast Options *

Smoked Fresh

Picnic Shoulder Roast Options *

Bone-In Boneless Option 3

Picnic Shoulder Roast Options *

Cut In Half Whole Option 3

Loin Options *

Loin End Roast, Country Ribs & Center Chops All Chops

Loin Options *

Bone-In Boneless

Loin Chops - how many to a pack? *

Sausage - Indicate what percentage of each you would like. Must equal 100%

Sweet Italian % *

Hot Italian % *

Breakfast Link % *

Breakfast Loose % *

Ground Pork % *

Additional Options (select any or all) *

Liver Kidney Feet Bones

Scrapple - lbs. per pack *

Scrapple Options *

Scrapple Jowl Bacon Head None

Vacuum Pack Your Order? (adds $0.25 per lb.) *

Yes No

Special Instructions *

Submit