JEROME COUNTRY MARKET
HOG CUTTING ORDER
www.jeromecountrymarketllc.com
Phone: 517-688-4041 - Fax: 517-688-4941
 
DATE: (Required)
CUSTOMER NAME:   (Required)
CUSTOMER PHONE: (Required)
CUSTOMER EMAIL: (Optional)
CUSTOMER ADDRESS: (Optional)
CUSTOMER CITY: (Optional)
CUSTOMER STATE: (Optional)
CUSTOMER ZIPCODE: (Optional)
HOG SIZE:   (Required)
PURCHASED FROM: (Required)
DELIVERED BY: (Optional)
SPECIAL INSTRUCTIONS: (Optional)
TRADITIONAL CUTS: YES?: SIZE: PER PKG:
FRESH PORK CHOPS:
LOIN END ROAST:
BONELESS PORK LOIN:  
BONELESS PORK CHOPS:
SMOKED PORK CHOPS:
SMOKED BNLS PORK LOIN:  
PORK STEAKS:
FRESH SHOULDER ROAST:
SMOKED PICNICS:    
RIBS:    
BACON:
BRATS:  [1]
LIVER:    
HEART:    
 
HAM: YES?: SIZE: PER PKG:
FRESH - WHOLE:      
FRESH - CUT IN 1/2:      
FRESH - CUT IN 1/3:      
FRESH - CENTER CUT:  
FRESH - SLICED:  
SMOKED - WHOLE:      
SMOKED - CUT IN 1/2:      
SMOKED - CUT IN 1/3:      
SMOKED - CENTER CUT:  
SMOKED - SLICED:  
 
SAUSAGE:  [1] HOT:  [1] MILD:  [1] FRESH:  [1]
BULK:  [1]
PATTIES:  [1]
LINKS:  [1]
OFFICE USE ONLY: POUNDS: PRICE: CHARGE:
BUTCHERING:    
CUTTING:   $0.45  
SMOKING:   $0.50  
PATTIES:   $0.50  
LINKS:   $0.50  
BRATS:  [1]   $1.00  
CAPE:   $50.00  
TOTAL:      
 
 

 
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NOTE(S):
  [1] Please select a maximum of only TWO (2) types of brats or sausage.