The Chile Twister Order Form

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

Sold Out

New ! PayPal Accepted - Click Button Below

 

Name ______________________________________

Address ______________________________________

______________________________________

E-mail address _______________________________

Quantity, # of twisters*__________

*______X $5.99= $___________

Texas residents add 8.25 % sales tax $__________

Add Shipping: $__________

(1=$2.75, 2=$3.65, 3=$4.50, 4=$5.35, 5 plus = $6.75)

Total sale including shipping $__________

Sold Out

 

Payment by Check or Money Order

Paypal Accepted

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