Name__________________________________________
Date:_______________
Address:_______________________________________
Phone:________________________
email:__________________________________________
PORK: WHOLE_____1/2_____
Pork Chops: How thick? ______ How many in a Package? _____
Loin End Pork Roast: Yes _____ or No _____ or Loins all Chops: Yes _____ or No _____
Weight of Roasts: ______: WHOLE_____1/2_____
Pork Butt Roast : Yes _____ or No _____ or Country Style Pork Ribs Yes _____ or No ____
Or Pork Butt Chops: Yes ____ or No _____
Ground Pork: Yes _____ or No ______
Sausage: Hot Sausage _____ Sweet Sausage _____ Breakfast Sausage _____ Chorizo______
PLEASE CHOOSE 1 TYPE OF SAUSAGE
Shoulder Fresh _____ or Smoked _____ /Whole _____ or Cut ½ ______
Ham Fresh: Yes _____or No_____ If fresh: How would you like them cut? _________________
Ham Smoked Yes_____ or No______ If smoked how would like it cut? Thickness of slice, if you have slices____
Whole_________ All slices________ Cut in ½ ________
½ sliced & ½ left as roast_______ Cut with center cut slices and roast on the ends_____
Bacon Fresh _____ ORBacon Smoked _____ Sliced if smoked: Yes _____ or No _____ Thick___ or Reg. ___
Do you need any of the following bagged for smoking else where? Hams ____ Shoulders ____ Bacon ____
Do you want to save: Head: Yes _____ or No ____
Feet: Yes ____ or No _____
If yes do you want them cut into Hocks & trotters? ________
Fat Back: Yes ____ or No ____
Liver and heart: Yes ____
143 Lawrence Rd, Springfield, Vermont 05156 www.fischerfarmsmeatandlivestock.com