JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CSA Forage-Based Rabbit Order Form
(Limited Number of Rabbits at this time)
Please use the form for completing information required for purchasing limited number of rabbits. Completion of this form should be mailed or e-mailed for your confirmation of the most delicious and healthy meat.
Sign in to Google
to save your progress.
Learn more
* Required
Name
*
Your answer
Phone Number
*
Your answer
E-mail Address
*
Your answer
Address
*
Your answer
City / State
*
Your answer
Zip Code
*
Your answer
Order Information
Number of Rabbits
*
(limited number per customer at this time max. 3)
Your answer
Do you want your rabbits...
*
Frozen
Fresh
Other:
Want whole fresh cut in parts?
*
Parts consist of 2-back quarters, 1-back area, and 2-front quarters. Notice on any Rabbit the kidney and liver will be placed in each cavity for whole
Yes
No
Additional Information
Cost per Rabbit (fresh) is $7 /lb. If cut parts desired a $1.50 will be added to the total cost per rabbit. Average weight per rabbit is 2.75- 3.25 /lbs dressed and bagged.
Deposit of $10 will be required on the limited year round rabbit production. Please send money to 9 Pinehurst Drive, Lexington, VA 24450 with a note of when you sent your order in.
Pick-Up Site will be at above address. Process date and time will be announced on website and e-mail.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms