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*

PICK UP DATE*

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*

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

This field is for validation purposes and should be left unchanged.