Ocotillo Homestead - Order Request Form
Use this form to submit an order request to our homestead.  Chicks are being born as we type and this form will be updated daily as needed.  You will receive an email response for your request and we can proceed to get your chicks delivered to you safely.  We will work out the details via email, text or over the phone.  Order today to guarantee best selection!
Sign in to Google to save your progress. Learn more
Welcome to our Order Form:
What is your name? *
Do you have a phone number to share? *
Required
Would you like to provide a contact telephone number, if so please type it below? *
How best would you like to communicate? *
What breeds are you interested in? *
Required
How many of each breed/mix are you looking for? *
Would you like to zoom when I am selecting your chicks.  We can select them together via zoom.  I will always select the best chicks available to fill the order, but some people might want to be "present" when I box your order up for delivery. *
Required
Any additional comments and/or request you have for us, please share that in the text box below.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report