Chicken Order Form

Fill out the form below to place an order for Williams Topsoil chicken. Pick up is available at Local Harvest CSA locations this Monday, Nov 4 and Thursday, Nov 7, 2024.

Name

First Name

Last Name

Phone

(###)

###

####

Pick up Date and Location

Please note that Cedar Rapids, Farm, and Solon are only on MONDAY, NOV 4, and Iowa City and North Liberty are only on THURSDAY, NOV 7.

Cedar Rapids- Feed Iowa First (1506 10th St) MONDAY 5:00 – 6:00 pm

Farm (5025 120th St NE) MONDAY after 4 pm

Solon (131 N Market St) MONDAY 5:15 - 6 pm

North Liberty Community Pantry (89 N Jones Blvd) THURSDAY 5:00 - 6:00 pm

Iowa City- Fiddlehead Gardens (1947 Waterfront Dr) THURSDAY 5:15 – 6:30 pm

None of these options work for me, I would like to find an alternate time to pick up chicken on the farm.

Please fill out the lines below with the QUANTITY of each option you would like to order. The price of everything is $6.50/lb, and we will have the total price for you at the pick up.

Whole cornish cross broilers (most between 3-5 lbs)

Whole CUT UP cornish cross broilers (most between 3-5 lbs. The chicken is broken down into breasts, wings, drumsticks etc but is all in one bag)

Chicken breast (1-2 lb packages)

Chicken thighs (2-3 lb packages)

Chicken drumsticks (1-2 lb packages)

Chicken wings (1-2 lb packages)

Any notes or messages about your order?