14000 W. 215th St., Bucyrus, KS 66013-9519

Ph. 913-879-2587 - 7:30 A. M. - 3 P. M  CST  Monday-Friday

24-hour Fax.  913-533-2497 

Minimum order $10.00 

Contact us by email any time.

Smith Poultry & Game Bird Supply


Name __________________________________________________ Date _____________


Address_________________________________________ (UPS requires a physical address)


City, State, & Zip Code______________________________________________________


 Ph. #____________________    E-mail ________________________________________



Name of Item Being ordered

Unit Price

Total Price














































Shipping Charges (call or e-mail us)




Sales Tax (Kansas residents only)








Order Total




Method of Payment


 _________Check or Money order     Discover, Master Card, Visa  (Circle Card Company)


  Card  #__________________________________________ Exp. Date:  _____________


  3 digit # from back of card _________________________________________________


 Card billing address _______________________________________________________



(signature of Credit Card Holder)


**Insurance is included in UPS rates for shipments valued up to $100.00.  Add $2.70 if the shipment’s value is between $101.00 and $300.00.  After that insurance is $.90 per $100.00.

Prices for Priority Mail valued up to $50.00 include insurance.  Call for insurance if the order is  $50.01 and over.