The Hog Farm Order Form

Print & Mail This Form To:	The Hog Farm		Or Print & Fax This Form To:
Print & Mail This Form To:	721 Mineral Springs Rd
	West Seneca, NY 14224		1-716-822-0479
Local Phone:	1-716-822-3227
Toll Free Phone:	1-800-822-1903

Please give physical address. UPS will not deliver to PO Boxes.
Ship To:		Bill To:
Name:		Name:
Email:		Email:
Phone No:		Phone No:
Fax No:		Fax No:
Address:		Address:
Address:		Address:
City:		City:
State:	Zip:	State:	Zip:

Credit Card Payment Information
Card Type (Circle): VISA MasterCard Discover	Name on Card:
Card Number:	Expiration Date:

Other Payment Information
Payment Type (Circle): Check Cashier's Check Money Order	Check #:

Order Information
SKU#	Description	Quantity	Price /Each	Shipping & Handling	Total





Subtotal Amount Here:
NY State Residents Only Add x 8% Sales Tax Here:
Calculate Final Total Here:

We ship to the continental United States only.