Jasper's Order Form |
Fax to 816-941-4121 |
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Now you can, and it's easy! Print this page, fill it
out like an order form, then fax or
mail it to us. After we verify the order with you, we'll ship your order
with a printed
receipt within 24 hours of receiving your faxed or mailed order form. |
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The Jasper's Cookbook
by Jasper J. Mirabile, Jr.
$19.95 each + $5.00 s/h
Quantity:
______ |
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Jasper's Kitchen Cookbook
by Jasper J. Mirabile, Jr.
$19.95 each + $5.00 s/h
Quantity:
______ |
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Jasper's Tuscan Dressing
12 oz. bottle
$4.99 each + shipping
Quantity: ______ |
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Jasper's Original Italian Salad Dressing
12 oz. bottle
$4.99 each + shipping
Quantity: ______ |
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Jasper's Marinara Pasta Sauce
28 oz. bottle
$4.99 each + shipping
Quantity: ______ |
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Jasper's Original Italian Pasta Sauce
28 oz. bottle
$4.99 each + shipping
Quantity: ______ |
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Jasper's Gift Certificate
Amount: $__________ |
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Jasper's Famous Ceasar Salad Dressing
12 oz. bottle
$4.99 each + shipping
Quantity: ______ |
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| Order Total: $________________ |
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| Phone number where you can be reached to verify this order:
______________________________________ |
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| Name as it appears on credit card: ____________________________________________________________ |
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| Credit Card Number: ______________________________________________
Expiration Date: ____________ |
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| Signature:________________________________________________________________________________ |
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| Shipment Address:_________________________________________________________________________ |
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| City:_____________________________________________ State:_____________
Zip:__________________ |
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Fax to 816-941-4121 |
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1201 W. 103rd Street | Kansas City, MO 64114 | Phone: (816) 941-6600 | Fax: (816) 941-4121
Wild-WestWebs.com
