HAY ORDER FORM

Please complete all information below then submit this form.

Name:

Address:

City:

State:       Zip:

Phone:           Cell Phone:

Best Time To Call:    A.M.    P.M.

Email:

Type of Hay Wanted:      Number of Rolls:

Method of Payment: Wire Funds       Credit Card via Paypal

Additional Information:

Thank you.  We will contact you shortly to complete the transaction.

Hettich Farms