The Chile Twister Order Form

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

Write check or money order to:
Carol A. Blakely
Special Offer -Reduced Sale Price !!!!
Was $6.99, now $5.99 - Limited Supply - Order Now
Buy 5 - Get One Free!

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=$2.44, 2=$3.21, 3=$3.77, 4=$4.47, 5=$5.24) Total sale including shipping $__________ Write check to: Carol A. Blakely New! Pay with PayPal

Payment by Check or Money Order

Paypal Accepted

Thank you for your order!

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if you have any questions or concerns.

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