Order Form

Please Print Clearly

Name: ________________________ Phone: ______________ Alternate Phone: ______________

_________________________________________________ e-mail: ______________________
Address **Do Not Use PO Box**
_________________________________________________

City, State, Zip

Please circle: Started or Mature (Be sure to indicate ID# only if selecting birds from our sales page)

1. Breed ______________________ Pullets ____ Cockerels ____ *Started or Mature ID# ____
2. Breed ______________________ Pullets ____ Cockerels ____ *Started or Mature ID# ____
3. Breed ______________________ Pullets ____ Cockerels ____ *Started or Mature ID# ____

 

Add to shipping below - Poultry purchase total ~ Amount: $__________

Please print and send this form along with your money order, payable to Ward Halligan. CornerStone Farm 525 Barnes Rd. Red Oak, VA. 23964

Shipping & Handling Charges

Shipping charges can change with US Postal Services - Express Mail price increases.

Shipping - Adult or *started large fowl chickens $47.00 max 2 birds per container. ~ Amount: $__________

Shipping - Adult or *started bantam chickens $30.00 max 4 birds per container. ~ Amount: $__________

Shipping - Adult or *started Guineas $45.00 max 3 birds per container. ~ Amount: $__________

Shipping - Adult or *started ducks $48.00 max 2 birds per container. ~ Amount: $__________

Shipping - Adult or *started Chinese Geese $58.00 + $26.00 container (holds 2) ~ Amount: $__________

Shipping - Adult or *started African Geese $65.00 + $26.00 container (holds 1) ~ Amount: $__________

Shipping - Adult or *started Royal Palm Turkeys $55.00 + $26.00 container (holds 1) ~ Amount: $__________

Add poultry purchase and shipping totals here - Total: $__________

*Started Birds are between 5 and 10 weeks of age. Each container can hold twice the amount. For example: 8 started bantams can be shipped in 1 container.