mscc order limit: $85 - human resources department 1347- answer to... · 105 [ ] dial...

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12/13/2017 MSCC ORDER LIMIT: $85.00 ID NUMBER: ______________________________ Circle the Dorm You Are Assigned to NAME (PRINT): ______________________________ DORM: Mountain LAST NAME FIRST NAME ROOM # _____________ DATE____________________ 762 [ ] M & M W / PEANUTS 1.70 $ 100 [ ] SKITTLES 2.17 OZ 1.40 $ 915 [ ] $20.00 PRE-PAID PHONECARD $20.00 944 [ ] OREO COOKIES 1.8 OZ 0.90 $ 912 [ ] TWIZZLERS STRAWBERRY TWISTS 5 oz 2.30 $ 932 [ ] BIG HUNK 2OZ 1.30 $ 522 [ ] HERSHEY MILK CHOCOLATE 1.80 $ 410 [ ] BOOKOFSTAMPS 20 - STAMPS 9.80 $ 138 [ ] PEANUT BUTTER WAFFERS 0.80 $ 139 [ ] SOY SAUCE 10pk 2.30 $ HEALTH CARE ITEMS/1 PER ITEM LIMIT 158 [ ] SMOKED OYSTERS 3.53 oz 3.10 $ 230 [ ] PROPRINAL (IBUPROFEN)-10 PCK -LIMIT 1- 4.20 $ 165 [ ] SNICKER BAR 1.50 $ 123 [ ] SUDO TAB -10 PCK-LIMIT 1- 3.90 $ 167 [ ] CHOCOLATE CHIP COOKIE 6 OZ 1.80 $ 168 [ ] MULTIVITAMINS BOTTLE OF 50 TABLETS 10.30 $ 169 [ ] TASTER CHOICE-10 SINGLE SERVINGS 5.70 $ 352 [ ] ATHLETE'S FOOT CREAM-LIMIT 1- 3.20 $ 171 [ ] SWEETNER, SUGAR TWIN-PGK 10- 0.60 $ 172 [ ] HYDROCORTISONE 10 PACKET-1/32 OZ EA 3.60 $ 170 [ ] MONSTER ICED HONEY BUN 1.60 $ 174 [ ] MilkyWay Bar Simply Caramel 1.50 $ TOILET ARTICLES & MISC ITEMS 181 [ ] HOT SAUCE, JALAPENO - 12 PACK 1.50 $ 188 [ ] CACTUS ANNIE JALAPENO CHEESE 2.oz 1.10 $ 184 [ ] HYGIENE KIT-1 TOOTHBRUSH, 1SOAP,1TOOTHPASTE 0.80 $ 189 [ ] ASSORTED OATMEAL 5.70 $ 415 [ ] ENVELOPE BLANK 0.20 $ 193 [ ] NESTLE COCOA, SINGLE PACK 0.40 $ 102 [ ] CHAPSTICK 3.00 $ 196 [ ] WILD FRUIT, SUGAR FREE 1.30 $ 104 [ ] POMADE, PRO GLO 4 OZ. 3.40 $ 197 [ ] HOT HOT HOT PEANUTS 1.10 $ 105 [ ] DIAL ANTIPERSPIRANT ROLL ON 2.80 $ 232 [ ] CARAMEL CORN 3.53 OZ 1.40 $ 107 [ ] HAIR BRUSH, (NO HANDLE) 5.50 $ 236 [ ] CRYSTAL LIGHT RASPBERRY ICE .08 oz single 0.80 $ 109 [ ] HAIR GEL, MENNEN PROTEIN 29-3 OZ 6.10 $ 249 [ ] GRANOLA CHOCOLATE CHIP 8 PACK 5.80 $ 112 [ ] HERITAGE SKIN CREAM (LIKE NOXZEMA) 4.10 $ 256 [ ] TORTILLA,FLOUR-1 PKG OF 6EA 2.10 $ 116 [ ] RAZORLESS - MAGIC SHAVING CREAM, 6 OZ 8.10 $ 257 [ ] TOASTER PASTRY-BLUEBERRY 3-2 PCKS 3.40 $ 122 [ ] SHAVING CREAM-PROTECTION 7OZ 4.00 $ 262 [ ] BRUSHY CREEK PREMIUM CHICKEN BREAST 5.20 $ 127 [ ] TOOTHPASTE 2.50 $ 271 [ ] SUGAR, 1 LB BOX 3.80 $ 136 [ ] TUMBLER W/O LID 1.00 $ 326 [ ] FRUIT PUNCH-10 PACK 2.10 $ 140 [ ] MANILA ENVELOPE, 9"X12" 0.20 $ 359 [ ] DUPLEX CREMES 3.20 $ 142 [ ] READING GLASSES 1.25 18.80 $ 369 [ ] CHUNK LIGHT TUNA IN WATER 3.70 $ 143 [ ] READING GLASSES 2.25 18.80 $ 501 [ ] PROTEIN BAR COOKIES 'N CREAM (PROMAX) 3.50 $ 144 [ ] READING GLASSES 3.00 18.80 $ 411 [ ] VELVEETA SPICY BEANS & RICE 4OZ 2.20 $ 147 [ ] SKETCH - DRAWING PAD, WHITE 8.5 X 11 2.20 $ 437 [ ] SF TEA W/ LEMON 0.30 $ 148 [ ] PAPER TABLET, LETTER SIZE-RULED 1.90 $ 129 [ ] Flamin' Hot CHEETOS 1 3/4 OZ 1.20 $ 161 [ ] COUGH DROPS, HALLS, 2.30 $ 500 [ ] 8-PK CHEESE CRACKERS WITH CHEDDAR CHEESE 4.60 $ 131 [ ] ROLAIDS 4.40 $ 601 [ ] JELLY & PEANUT BUTTER COMBO POUCH 2.12 OZ 0.70 $ 202 [ ] DEODORANT, MENNEN LADY SPEED STICK 4.60 $ 505 [ ] BEEF STEW 11.25 OZ SERVING 2.80 $ 238 [ ] BABY OIL, KEEFE CRAWFORD 4 OZ 1.40 $ 539 [ ] JALAPENO SLICES .7 oz 0.70 $ 302 [ ] MENNEN AFTA SHAVE 5.40 $ 518 [ ] FISH STEAKS IN OIL WITH GREEN CHILIES 1.80 $ 237 [ ] IRISH SPRING SOAP (NEW) 1.40 $ 732 [ ] CHEX MIX BOLD 8.75OZ NEW 5.80 $ 343 [ ] SHAMPOO&CONDITIONER BODY WASH 15 OZ 5.40 $ 533 [ ] BEEF JERKY .9 oz NEW PACK SIZE 2.30 $ 700 [ ] DOVE UNSCENTED SOAP 2.40 $ 521 [ ] HIGH HEAT BEEF SAUSAGE Brushy Creek 5oz 3.80 $ 702 [ ] ISLAND NATURALS SKIN LOTION 15 OZ 5.30 $ 913 [ ] Chili HOT with beans 11.25 oz 3.10 $ 703 [ ] 2-PIECE SOAP DISH 0.90 $ 301 [ ] PORK RINDS HOT & SPICY 2/2OZ 3.00 $ 760 [ ] Anti-Dandruff SHAMPOO 11OZ 8.60 $ 549 [ ] HOT & SPICY CORN CHIPS 4.10 $ 744 [ ] MAYONNAISE, SALT & PEPPER 1.80 $ 130 [ ] THE WHOLE SHABANG CHIPS 2.80 $ 135 [ ] CARDS, U.S. AVIATOR, POKER 3.10 $ 600 [ ] SPICY BEANS & RICE-2 PCK 3.20 $ 510 [ ] CARDS, U.S. AVIATOR, PINOCHLE 3.10 $ 911 [ ] WHITE RICE PRE-COOKED LONG GRAIN 8oz 1.60 $ 540 [ ] MENS SIZE 9 CROCS 13.80 $ 194 [ ] KEEFE COLUMBIAN FREEZE DRIED COFFEE 80Z 13.60 $ 542 [ ] MENS SIZE 10 CROCS 13.80 $ 901 [ ] 6 PACK ROAST BEEF-LIMIT 4- 3.80 $ 544 [ ] MENS SIZE 11 CROCS 13.80 $ 902 [ ] 6 PACK CHICKEN-LIMIT 4- 3.80 $ 545 [ ] MENS SIZE 12 CROCS 13.80 $ 903 [ ] 6 PACK CHILI-LIMIT 4- 3.80 $ 920 [ ] CAJUN SHRIMP RAMEN-SINGLE PACK 0.70 $ For 2FL Worker POD use only. ALL SALES ARE FINAL-NO REFUNDS FOR ANY REASON IF YOU BAIL YOU HAVE 8 CALENDAR DAYS TO PICKUP YOUR ORDER. IF YOU GO TO CDC NO REFUND OF YOUR ORDER. IF YOU GO TO A PROGRAM YOU HAVE 8 CALENDAR DAYS TO PICKUP YOUR ORDER. ALL SALES ARE FINAL-NO REFUNDS FOR ANY REASON MSCC [ ] QA COMPLETE NO X'S, NO CHECK MARKS, NO DOTS-WRITE THE QUANTITY YOU WANT NEXT TO THE CORRECT ITEM NUMBER I AUTHORIZE FUNDS TO BE REMOVED FROM MY ACCOUNT FOR THE TOTAL AMOUNT OF ITEMS SELECTED ABOVE. SIGNED:______________________________________SIGN HERE OR YOUR ORDER WILL NOT BE PROCESSED I ACKNOWLEDGE RECEIPT OF MY ORDER: X _______________________________ ( ) INMATE ID BAND CHECKED **PRINT THE NUMBER YOU WANT NEXT TO ANY ITEM YOU ORDER. MAXIMUM 12 DIFFERENT ITEMS** LIMIT 1-$20.00 CARD WRITE 1 NEXT TO ITEM NUMBER OR LEAVE BLANK STAMPS COUNT AGAINST DOLLAR/ITEM LIMIT 1 WRITE 1 NEXT TO ITEM NUMBER OR LEAVE BLANK LIMIT 1 SHEET OF 20-.49 CENT STAMPS

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12/13/2017 MSCC ORDER LIMIT: $85.00

ID NUMBER: ______________________________ Circle the Dorm You Are Assigned to

NAME (PRINT): ______________________________ DORM: Mountain

LAST NAME FIRST NAME ROOM # _____________ DATE____________________

762 [ ] M & M W / PEANUTS 1.70$

100 [ ] SKITTLES 2.17 OZ 1.40$

915 [ ] $20.00 PRE-PAID PHONECARD $20.00 944 [ ] OREO COOKIES 1.8 OZ 0.90$

912 [ ] TWIZZLERS STRAWBERRY TWISTS 5 oz 2.30$

932 [ ] BIG HUNK 2OZ 1.30$

522 [ ] HERSHEY MILK CHOCOLATE 1.80$

410 [ ] BOOKOFSTAMPS 20 - STAMPS 9.80$ 138 [ ] PEANUT BUTTER WAFFERS 0.80$

139 [ ] SOY SAUCE 10pk 2.30$

HEALTH CARE ITEMS/1 PER ITEM LIMIT 158 [ ] SMOKED OYSTERS 3.53 oz 3.10$ 230 [ ] PROPRINAL (IBUPROFEN)-10 PCK -LIMIT 1- 4.20$ 165 [ ] SNICKER BAR 1.50$ 123 [ ] SUDO TAB -10 PCK-LIMIT 1- 3.90$ 167 [ ] CHOCOLATE CHIP COOKIE 6 OZ 1.80$ 168 [ ] MULTIVITAMINS BOTTLE OF 50 TABLETS 10.30$ 169 [ ] TASTER CHOICE-10 SINGLE SERVINGS 5.70$ 352 [ ] ATHLETE'S FOOT CREAM-LIMIT 1- 3.20$ 171 [ ] SWEETNER, SUGAR TWIN-PGK 10- 0.60$ 172 [ ] HYDROCORTISONE 10 PACKET-1/32 OZ EA 3.60$ 170 [ ] MONSTER ICED HONEY BUN 1.60$

174 [ ] MilkyWay Bar Simply Caramel 1.50$ TOILET ARTICLES & MISC ITEMS 181 [ ] HOT SAUCE, JALAPENO - 12 PACK 1.50$

188 [ ] CACTUS ANNIE JALAPENO CHEESE 2.oz 1.10$ 184 [ ] HYGIENE KIT-1 TOOTHBRUSH, 1SOAP,1TOOTHPASTE 0.80$ 189 [ ] ASSORTED OATMEAL 5.70$ 415 [ ] ENVELOPE BLANK 0.20$ 193 [ ] NESTLE COCOA, SINGLE PACK 0.40$ 102 [ ] CHAPSTICK 3.00$ 196 [ ] WILD FRUIT, SUGAR FREE 1.30$ 104 [ ] POMADE, PRO GLO 4 OZ. 3.40$ 197 [ ] HOT HOT HOT PEANUTS 1.10$ 105 [ ] DIAL ANTIPERSPIRANT ROLL ON 2.80$ 232 [ ] CARAMEL CORN 3.53 OZ 1.40$ 107 [ ] HAIR BRUSH, (NO HANDLE) 5.50$ 236 [ ] CRYSTAL LIGHT RASPBERRY ICE .08 oz single 0.80$

109 [ ] HAIR GEL, MENNEN PROTEIN 29-3 OZ 6.10$ 249 [ ] GRANOLA CHOCOLATE CHIP 8 PACK 5.80$ 112 [ ] HERITAGE SKIN CREAM (LIKE NOXZEMA) 4.10$ 256 [ ] TORTILLA,FLOUR-1 PKG OF 6EA 2.10$ 116 [ ] RAZORLESS - MAGIC SHAVING CREAM, 6 OZ 8.10$ 257 [ ] TOASTER PASTRY-BLUEBERRY 3-2 PCKS 3.40$ 122 [ ] SHAVING CREAM-PROTECTION 7OZ 4.00$ 262 [ ] BRUSHY CREEK PREMIUM CHICKEN BREAST 5.20$ 127 [ ] TOOTHPASTE 2.50$ 271 [ ] SUGAR, 1 LB BOX 3.80$ 136 [ ] TUMBLER W/O LID 1.00$ 326 [ ] FRUIT PUNCH-10 PACK 2.10$ 140 [ ] MANILA ENVELOPE, 9"X12" 0.20$ 359 [ ] DUPLEX CREMES 3.20$ 142 [ ] READING GLASSES 1.25 18.80$ 369 [ ] CHUNK LIGHT TUNA IN WATER 3.70$ 143 [ ] READING GLASSES 2.25 18.80$ 501 [ ] PROTEIN BAR COOKIES 'N CREAM (PROMAX) 3.50$ 144 [ ] READING GLASSES 3.00 18.80$ 411 [ ] VELVEETA SPICY BEANS & RICE 4OZ 2.20$ 147 [ ] SKETCH - DRAWING PAD, WHITE 8.5 X 11 2.20$ 437 [ ] SF TEA W/ LEMON 0.30$ 148 [ ] PAPER TABLET, LETTER SIZE-RULED 1.90$ 129 [ ] Flamin' Hot CHEETOS 1 3/4 OZ 1.20$ 161 [ ] COUGH DROPS, HALLS, 2.30$ 500 [ ] 8-PK CHEESE CRACKERS WITH CHEDDAR CHEESE 4.60$ 131 [ ] ROLAIDS 4.40$ 601 [ ] JELLY & PEANUT BUTTER COMBO POUCH 2.12 OZ 0.70$ 202 [ ] DEODORANT, MENNEN LADY SPEED STICK 4.60$ 505 [ ] BEEF STEW 11.25 OZ SERVING 2.80$ 238 [ ] BABY OIL, KEEFE CRAWFORD 4 OZ 1.40$ 539 [ ] JALAPENO SLICES .7 oz 0.70$ 302 [ ] MENNEN AFTA SHAVE 5.40$ 518 [ ] FISH STEAKS IN OIL WITH GREEN CHILIES 1.80$ 237 [ ] IRISH SPRING SOAP (NEW) 1.40$ 732 [ ] CHEX MIX BOLD 8.75OZ NEW 5.80$ 343 [ ] SHAMPOO&CONDITIONER BODY WASH 15 OZ 5.40$ 533 [ ] BEEF JERKY .9 oz NEW PACK SIZE 2.30$ 700 [ ] DOVE UNSCENTED SOAP 2.40$ 521 [ ] HIGH HEAT BEEF SAUSAGE Brushy Creek 5oz 3.80$ 702 [ ] ISLAND NATURALS SKIN LOTION 15 OZ 5.30$ 913 [ ] Chili HOT with beans 11.25 oz 3.10$ 703 [ ] 2-PIECE SOAP DISH 0.90$ 301 [ ] PORK RINDS HOT & SPICY 2/2OZ 3.00$ 760 [ ] Anti-Dandruff SHAMPOO 11OZ 8.60$ 549 [ ] HOT & SPICY CORN CHIPS 4.10$

744 [ ] MAYONNAISE, SALT & PEPPER 1.80$ 130 [ ] THE WHOLE SHABANG CHIPS 2.80$

135 [ ] CARDS, U.S. AVIATOR, POKER 3.10$ 600 [ ] SPICY BEANS & RICE-2 PCK 3.20$ 510 [ ] CARDS, U.S. AVIATOR, PINOCHLE 3.10$ 911 [ ] WHITE RICE PRE-COOKED LONG GRAIN 8oz 1.60$ 540 [ ] MENS SIZE 9 CROCS 13.80$ 194 [ ] KEEFE COLUMBIAN FREEZE DRIED COFFEE 80Z 13.60$

542 [ ] MENS SIZE 10 CROCS 13.80$ 901 [ ] 6 PACK ROAST BEEF-LIMIT 4- 3.80$

544 [ ] MENS SIZE 11 CROCS 13.80$ 902 [ ] 6 PACK CHICKEN-LIMIT 4- 3.80$

545 [ ] MENS SIZE 12 CROCS 13.80$ 903 [ ] 6 PACK CHILI-LIMIT 4- 3.80$

920 [ ] CAJUN SHRIMP RAMEN-SINGLE PACK 0.70$

For 2FL Worker POD use only. ALL SALES ARE FINAL-NO REFUNDS FOR ANY REASON

IF YOU BAIL YOU HAVE 8 CALENDAR DAYS TO PICKUP

YOUR ORDER. IF YOU GO TO CDC NO REFUND OF YOUR

ORDER. IF YOU GO TO A PROGRAM YOU HAVE 8

CALENDAR DAYS TO PICKUP YOUR ORDER.

ALL SALES ARE FINAL-NO REFUNDS FOR ANY REASON

MSCC [ ] QA COMPLETE

NO X'S, NO CHECK MARKS, NO DOTS-WRITE THE QUANTITY YOU WANT NEXT TO THE CORRECT ITEM NUMBER

I AUTHORIZE FUNDS TO BE REMOVED FROM MY ACCOUNT FOR THE TOTAL AMOUNT OF ITEMS SELECTED ABOVE.

SIGNED:______________________________________SIGN HERE OR YOUR ORDER WILL NOT BE PROCESSED

I ACKNOWLEDGE RECEIPT OF MY ORDER: X _______________________________( ) INMATE ID BAND CHECKED

**PRINT THE NUMBER YOU WANT NEXT TO ANY ITEM YOU ORDER. MAXIMUM 12 DIFFERENT ITEMS**

LIMIT 1-$20.00 CARD

WRITE 1 NEXT TO ITEM NUMBER OR LEAVE BLANK

STAMPS COUNT AGAINST DOLLAR/ITEM LIMIT 1

WRITE 1 NEXT TO ITEM NUMBER OR LEAVE BLANK

LIMIT 1 SHEET OF 20-.49 CENT STAMPS

12/13/2017 WOMENS

CORRECTIONAL CENTER

ORDER LIMIT: $90.00

Circle the Dorm You Are Assigned to

ID NUMBER:_________________________________ DORM: Mountain Bay Valley Ocean

NAME (PRINT)_______________________________ ROOM # __________________DATE:___________________________ LAST NAME, FIRST NAME

Personal Hygiene & Sundries Snack Food & Misc Items

0001 [ ] CRAWFORD BALSAM PROTEIN SHAMPOO 4 OZ 1.60$ 6606 [ ] PEANUTS 1.75 0Z 1.30$

0002 [ ] CRAWFORD BALSAM CONDITIONER 4 OZ 1.60$ 6349 [ ] CACTUS WHOLE ENCHILADA MIX 11OZ 4.60$

0502 [ ] SUAVE WATERFALL CONDITIONER 4.60$ 6348 [ ] CACTUS HOT CHEESE CRUNCHY 9.5 OZ 4.60$

0048 [ ] SOFTEE COCONUT OIL FOR HAIR 3.70$ 6255 [ ] CITY COW NACHO JALA CHEESE DIP 4.0 2.30$

0103 [ ] LADY CLEAR GEL ORCHARD BLOSSOM 2.3 OZ 6.20$ 6250 [ ] ONION DIP 3.5 OZ 2.40$

0200 [ ] NEWDAY BABY POWDER 4 OZ 2.50$ 6222 [ ] CORN NUTS BBQ 1.4 OZ 1.30$

0204 [ ] NEWDAY BABY OIL 5.40$ 6179 [ ] FRESH CATCH SARDINES/ 3.53 OZ 2.10$

0218 [ ] SUAVE COCO BUTTER LOTION 6.90$ 6166 [ ] CACTUS ANNIES BBQ CORN CHIP 4.60$

0221 [ ] VASELINE 2.30$ 6117 [ ] CACTUS ANNIES CHEESE CRUNCHY 11 OZ 4.30$

0241 [ ] NOXZEMA 2.5 OZ SKIN CREAM 4.70$ 6050 [ ] KK INSTANT RICE 7 OZ W/ZIP 2.80$

0242 [ ] ACNE TREATMENT CREAM 1 OZ 4.90$ 4004 [ ] BABYRUTH 2.30$

0358 [ ] ELEMENTZ HYDRANTING CONDITION ER 15 OZ 4.20$ 3358 [ ] FROSTED FLAKES 7.70$

0362 [ ] ELEMENTZ DANDRUFF SHAMPOO 15 OZ 6.80$ 3342 [ ] RAISIN BRAN 7.70$

0407 [ ] LEVER 2000 BATH 4.5 OZ 2.90$ 3283 [ ] VANILLA PUDDING 4/ 3.5oz cups 3.50$

0440 [ ] DOVE ORIGINAL SCENT BAR 4.10$ 3218 [ ] FUDGE BROWNIE 3.25 OZ 2.00$

0444 [ ] NEUTROGENA SOAP 3.5 OZ 7.40$ 3160 [ ] WHEAT THINS CRACKER 5.80$

0522 [ ] COLG BK SODA W/PEROX FROSTY MINT 6.4 6.00$ 3110 [ ] KEEBLER CLUB CRACKERS 5.25 OZ 3.50$

0858 [ ] GOODY ELASTICS PONYTAIL 18PK 2.40$ 2667 [ ] VELVEETA SPICY CHEESY RICE 1.50$

0590 [ ] DENTURE TABLETS 40'S 5.50$ 2340 [ ] LEMON LIME GATORADE 1QT 2.12OZ 2.10$

0671 [ ] GOOD SENSE CHERRY COUGH DROPS 30CT 2.00$ 2201 [ ] TANG BREAKFAST DRINK MIX 12 OZ 4.60$

0681 [ ] 1-DAY VITAMIN W/IRON 90 CT 5.50$ 2198 [ ] SWISS MISS COCOA 9 OZ 4.10$

0835 [ ] STRETCH CAP FOR HAIR 6.00$ 2147 [ ] MAXWELL HOUSE COFFEE 1.6 OZ 3.90$

0773 [ ] TAMPON KIT 10\PK 6.30$ 2087 [ ] KF CREAMER 10/PK 2.90$

0715 [ ] REGULAR MAXI PAD SINGLE 0.30$ 2041 [ ] B.C. FRENCH VANILLA CAPPUCCINO 8 OZ 4.30$

0966 [ ] I LOVE YOU CARD 1.40$ 2011 [ ] KEEFE DECAFF COFFEE 3.oz 7.00$

0967 [ ] I MISS YOU CARD 1.40$

1100 [ ] HAPPY B-DAY CARD 1.40$

1121 [ ] HOLIDAY CARD 1.40$

1412 [ ] 14 OZ INSULATED COFFEE MUG W/LID 3.50$

1430 [ ] WHITE WASHCLOTH 1.10$

4709 [ ] SIZE 6 WOMENS BRIEFS 16.50$

4713 [ ] SIZE 10 WOMENS BRIEFS 16.50$

( ) INMATE ID BAND CHECKED [ ] QA COMPLETE

CALENDAR DAYS TO PICKUP YOUR ORDER.

ALL SALES ARE FINAL-NO REFUNDS FOR ANY REASON

I ACKNOWLEDGE RECEIPT OF MY ORDER: X _______________________________________

NO X'S, NO CHECK MARKS, NO DOTS-WRITE THE QUANTITY YOU WANT NEXT TO THE CORRECT ITEM NUMBER

I HAVE READ THE RULES ON THE REVERSE SIDE OF THIS FORM AND AUTHORIZE THE STOREKEEPER TO DEDUCT

FROM MY ACCOUNT THE TOTAL AMOUNT OF ITEMS SELECTED ABOVE.

SIGNED:______________________________________SIGN HERE OR YOUR ORDER WILL NOT BE PROCESSED

YOUR ORDER. IF YOU GO TO CDC NO REFUND OF YOUR

ORDER. IF YOU GO TO A PROGRAM YOU HAVE 8

**PRINT THE NUMBER YOU WANT NEXT TO ANY ITEM YOU ORDER. MAXIMUM 12 DIFFERENT ITEMS**

PROCESSED 1ST ON TUESDAYS-DELIVERED ON FRIDAY

ALL SALES ARE FINAL-NO REFUNDS FOR ANY REASON

IF YOU BAIL YOU HAVE 8 CALENDAR DAYS TO PICKUP

MSCCDrop Ship