Order Form

We are taking orders for the 2011 hunting season. Feel free to fill out the order form below to reserve birds for the upcoming season.

If you are in need of small quantities, (1-50) before the 2010 hunting season, go ahead and fill out the form and will will do our best to meet your needs. We will attempt to contact you once we receive the order form, to verify the quantity and pickup date.

At this point, the order form is not a binding or obligatory form, nor do we typically require upfront funds. It is a way for us to keep track of how many birds we will need to have on hand to meet demands. This may be subject to change in the future...

Your Information

Name: *

Enter your name (Ex. Paul Smith)

Location: *

Enter a location where you live or operate business. City and State is enough information. (Ex. Wichita, KS)

Primary Phone Number: *

Enter a phone number where you can be reached (Ex. 316-123-1234)

Secondary Phone Number:

Enter a secondary phone number where you can be reached (Optional: Leave blank if you only have one phone number)

E-mail Address:

Enter a valid e-mail address where you can be contacted (Optional)

Order Information

Pheasant Quantity: *

Enter the number of pheasant you want to buy. If you don't want any pheasant, just put a zero (o) for the quantity.

Quail Quantity: *

Enter the number of quail you want to buy. If you don't want any quail, just put a zero (o) for the quantity.

Chukar Quantity: *

Enter the number of chukar you want to buy. If you don't want any chukar, just put a zero (o) for the quantity.

Pickup Date: *

Choose an approximate date when you expect the birds to be ready.

Comments:

If you have any additional questions, comments or instructions, feel free to leave them here.

Kansas Game Birds

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