fax order form: spicy gourmet cajun and new orleans foods, seasonings & spices. Great food from south louisiana! |
|
Ship To Information... |
|||||
| Name: | Street: | ||||
| City: | State: | Zip Code: | |||
| Email: | Phone: | ||||
Credit Card Information... |
|||||
| Name on Card: | Card Type: Visa MC Amex Discover | ||||
| Credit Card No: | |||||
| Expiration Date (mm/yy): | Card Security Code: | ||||
Bill To Address (if different from above).. |
|||||
| Name: | Street: | ||||
| City: | State: | Zip Code: | |||
| Email: | Phone: | ||||
Items Ordered... |
|||||
| . | Price | Quantity | Total Price | ||
| . | . | . | . | ||
| . | . | . | . | ||
| . | . | . | . | ||
| . | . | . | . | ||
Louisiana Sales Tax: For Louisiana Customers Only (9.0%): |
. | ||||
Total Order: |
. | ||||
Additional Shipping Instructions |
|||||
| Requested Delivery Date: | |||||
| Gift Message: | |||||
| Other Information: | |||||
Our shipping costs are the based on UPS shipping rates displayed at www.ups.com.
Please select your UPS shipping choice: Ground _ 2nd
Day Air _ Next Day Air _
If you'd like us to hold your order until you approve shipping costs, please check
here _