PEPPER SAUCE ORDER FORM

**Geyla Queen** · Subject: PEPPER SAUCE ORDER FORM Tue Aug 12, 2008 7:19 pm

ORDER REQUEST FORM

INSTRUCTIONS:
Please copy/paste the form below to your e-mail account, fill out the form and e-mail it to LVillageMarket@yahoo.com

Quote:

NAME:

SHIPPING ADDRESS:

E-MAIL ADDRESS:

PHONE NUMBER (optional):

ORDER REQUEST:
PEPPER SAUCE= $10.00 per jar + shipping:

PEPPER SAUCE WITH KAYTAYLAY= $10.00 per jar + shipping:

BENESEED= $5.00 per jar + shipping:

PLEASE SELECT YOUR METHOD OF PAYMENT:
CHECK:
MONEY ORDER:
PAYPAL:

Orders will ship via US Postal Service (priority two days) when payment is received.

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