Southern Delite Caterers

FAX and Postal Mail Form

This form can be used for both options. If FAXing, no coversheet is required

Product Information

Product: Southern Delite's Patriot Hot Sauce 8oz bottle

Product ID: SD-101

Price: $6.00 each Shipping for one to two bottles $3.95

Quanity:* ______ x $6.00 equals $ __________

Shipping:* 1 to 2 bottles / $3.95

3 to 4 bottles / $6.95

5 to 6 bottles / $9.95 __________

* Required fields Total Cost (w/shipping) $ __________

For larger quantities or commercial orders please send us an email for quotes.

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Choice of Payment Type (Please do not send cash through the mail)

Credit Card ______ Check ______ Postal M.O. ______

(Visa and MasterCard ONLY)

For Check or Postal M.O. go directly to 'Delivery Address' section at the bottom.

For Credit Card orders please fill-in below:

Billing Information

Full Name* __________________________________________

Enter your name as it appears on the credit card

Billing Address* _______________________________________

Enter the address as it appears on your credit card statements.

Email Address* __________________________ Phone Number* _________________________

* Required fields.

Billing Address (cont')

City* ___________________ State/province* _____________ Zip/postal Code* _____________

Credit Card Details

Select type of credit card* VISA ______ MasterCard ______

Card Number* _______________________________________

Expiration Date* ______/______ Card Security Code _____________

(3-digit # on reverse of your card.)

(Card Security Code is required for all Master and Visa Cards.)

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Is your shipping address different than billing address, or is this a purchase for someone else?* Yes ____ No ____

If 'yes' please also give us your requested shipping address(es). Please add additional sheets as needed.

Delivery Address

Name __________________________________________

Address* _______________________________________

City* ___________________ State/province* _____________ Zip/postal Code* _____________

If you wish to be to our email list to learn of new products, upcoming events and special offers please check here. ____

We will not pass your details onto third parties. To view our Privacy Policy please go to southerndelite.com/privacyinfo

When will my 'hot sauce' arrive? We strive to ship as soon as possible, often within 48 hours of receipt of a completed order.

We will confirm receipt of your order via email, and again as soon as your order ships and we can provide a confirmation number.

When completed FAX form to: (805) 927-6874

Or When completed Mail form and check/money order to: Southern Delite Caters Hot Sauce

156 HOBBS LN

SANTA MARIA, CA 93455