fax order form: spicy gourmet cajun and new orleans foods, seasonings & spices. Great food from south louisiana!

Cajun Shop Crawfish & Alligator Banner Image (6995 bytes)

Fax Form

Use this Fax page to quickly & securely place multiple orders of the same products.
Just print this page, then fill out & Fax your order to us. Our Fax No is: 1-225-313-6303.
If your order is to be shipped to multiple destinations, just fax us a list of recipients with the order.
Include the recipients' Name & Address, Zip Code & Phone No

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  _