Pork Order Form

Pick Up or Delivery
PLEASE SELECT WHERE YOU WISH TO COLLECT YOUR ORDER FROM OR PLEASE DELIVER (REQUIRED)*
- PITTSWORTH
- DALBY
- PLEASE DELIVER
Delivery Schedule

Pittsworth & Dalby - Monday to Friday
Toowoomba & surrounding areas - Thursdays PM

Delivery Dalby Run 11:30am & 4.00pm
Customer Details
NAME*
DELIVERY ADDRESS*
APPROX DELIVERY TIME
PHONE*
EMAIL
PIG REQUIREMENTS
TATTOO #
DATE TO BE KILLED*
DD slash MM slash YYYY
PICK UP DATE*
DD slash MM slash YYYY
FRESH OR CURED*
- Fresh Whole
- Fresh Half
- Cured Whole
- Cured Half
- Half Fresh, Half Cured
FRESH PIG
LEGS*
- Whole
- Cut
NUMBER OF CUT PIECES*
SHOULDER*
- Whole
- On Bone
- Bone Out
- Cushion Chops
NUMBER OF ON BONE PIECES*
HOCK*
- Pickled
- Diced
- Sausages
BELLY
- Spare Ribs
- Sausages
LOIN CHOPS*
- Yes
- No
CURED PIG
LEG HAM COOKED*
- Whole
- Cut
NUMBER OF CUT PIECES
SHOULDER COOKED*
- Whole
- Cut
- On Bone
- Bone Out, Roll
- Ham Steaks Cuts
NUMBER OF SHOULDER CUTS*
MIDDLE BACON SLICED*
- Yes
- No
BACON BONES*
- Yes
- No
OTHER INSTRUCTIONS
DELIVERY NOTE: OUTSIDE OF PITTSWORTH & DALBY, PLEASE CONTACT YOUR LOCAL ASHTONS BUTCHERY TO MAKE ARRANGEMENTS
Email
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Pick Up or Delivery