The Ancho Order Form

Print and Mail this to:
The Jalapeno Cafe
3219 Kiesthill Dr.
Dallas, TX 75233

Write check to: Carol A. Blakely

 

Name ______________________________________

Address ______________________________________

______________________________________

E-mail address _______________________________

Sold as whole chilies in a 1 ounce bags -$2.00 per bag

Quantity, # of bags*__________

*______X $2.00 = $___________

Texas residents add 8.25 % sales tax $__________

Add $1.50 for first bag for Shipping $__________

Add $.50 for each additional bag$___________

 

Total sale( including shipping) $_____________

Write check to: Carol A. Blakely

Your order will go out the day we receive your check.
Thank you for your order!

E-Mail The Jalapeno Cafe
if you have any questions or concerns.

Return to Chilies Page

Return to the Jalapeno Cafe