Important Ordering Information

Miller Hatcheries - Order Form

This order form is not to be sent electronically. Please complete the form using your computer, then print and fax to Miller Hatcheries Fax - [780]479-1113 or to your Agent.

Today's Date  Shipping Instructions  
Name

Call at Hatchery
Trucking Company

 Air Cargo
Mail		  
Mailing
Address






 
Phone Date Required  

To obtain prices - click to view Current Prices or click on the product links below. If you have difficulty with this form-please print form and complete by hand.
Quantity Breed or Description  Sex Price Amount
Chickens
Turkeys-Ducks-Geese

Mix

Mix

Mix
Special Services
Start and Keep your Birds Healthy Freight or Parcel Post Charges
GST applies to Postal charges, supplies & services only GST
If breed is not available, my second choice is
 Total Amount
Have you ordered Champion Chicks or
 Poults Before? Yes  No		 Year? Deposit - Amount Paid
Method of Payment Visa Cheque Cash Balance to Pay