Broiler Chick Order Form

Amy Welch, Cormier, Tiffiany  |  9/21/2016 4:11:03 PM

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4-H

LSU AgCenter State Show / Jeff Davis Parish Livestock Show

Broiler Chick Order Form

Deadline: November 3, 2016

Name:

Address:


Phone: School Club:


Parish Broiler Show Date: January 17, 2017

State Broiler Show Date (Tentative): February 15, 2017

Please denote clearly number of chicks for Parish and / or State!!

Number of chicks needed for Jeff Davis Parish Livestock Show:

Tentative delivery date – First Week of December 2016

Number of chicks needed for LSU State Livestock Show:

Tentative delivery date – First Week of January 2017

Total Number of chicks needed: ­­­­­­­­­­­­­­

Amount enclosed (50¢ per chick):

Please make checks payable: Jeff Davis 4-H

Mail to: Jeff Davis 4-H

1006 South Lake Arthur Avenue

Jennings, LA 70546

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