Your Local
Chicken Order Form

Payment is eTransfer, cash or cheque. Items listed on website may be out of stock. If you require delivery, please include your address at the bottom of the form.
Please see the Beef Orders Page for your beef orders!

Name

First Name

Last Name

Special Request

Inquire on pricing for ordering direct fresh or frozen chicken

Bulk Frozen Chicken

Whole Chicken

~3kg Bird - $25.50

Boneless Chicken Breast

4kg Box - $42.00

Split Wings

4kg Box - $43.00

Breaded Chicken Burgers

4kg Box - $48.00

Breaded Chicken Nuggets

4kg Box - $45.00

Breaded Breast Fillets

4kg Box - $55.00

Address

Only Required for Delivery *Free delivery in the township of Mapleton, ON.*

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your LocalChicken Order Form

Van Zandwyk Farms

Your Local
Chicken Order Form