K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Total Total Total Order Form AL Property & Hygiene Qtr. 1 - Women’s Ordering Dates: January 30 - February 28, 2017 Please complete all info on reverse (print clearly). ITEM DESCRIPTION PRICE ITEM # QTY TOTAL PRICE HEALTH & BEAUTY Vitamins Naturalist Premium Performance Multi-Vita- min (60 Ct.) $4.80 / EA 26048 Vitamin C 500 mg. (100 Ct.) $3.50 / EA 21341 Hair Care 7” Professional Comb (plastic) $0.50 / EA 20286 7-1/2” Professional Comb $0.50 / EA 20287 9-1/4” Afro Comb C $0.60 / EA 20289 Balsam & Protein 12 oz. Shampoo C SHAMPOO LIMIT 2 $1.80 / EA 20420 Clairol Herbal Essences 10.17 oz. Hello Hydration Conditioner CONDITIONER LIMIT 2 $6.50 / EA 26067 Clairol Herbal Essences Hello Hydration Shampoo 10.17 oz. SHAMPOO LIMIT 2 $6.00 / EA 26066 Club Brush $2.20 / EA 20277 Conair Smooth & Style Comb $1.50 / EA 80002208 Crawford 12 oz. Dandruff Shampoo C SHAMPOO LIMIT 2 $2.25 / EA 20430 Crawford 4 oz. Balsam & Protein Condi- tioner C CONDITIONER LIMIT 2 $0.65 / EA 20025 Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash BODY WASH LIMIT 2 $2.25 / EA 24942 Elementz 15 oz. Daily Shampoo Eucalyptus & Mint SHAMPOO LIMIT 2 $2.25 / EA 24937 Elementz 15 oz. Dandruff Shampoo Almond/ Shea SHAMPOO LIMIT 2 $3.00 / EA 24938 Elementz 15 oz. Hydrating Conditioner Almond/Shea CONDITIONER LIMIT 2 $2.10 / EA 24939 Elementz 15 oz. Styling Gel w/Aloe Vera HAIR STYLING LIMIT 2 $2.25 / EA 24941 Elementz 15 oz. Thickening Shampoo w/Aloe & Ginseng SHAMPOO LIMIT 2 $1.90 / EA 24936 Goodsense 11 oz. Anti-Dandruff Shampoo SHAMPOO LIMIT 2 $4.15 / EA 24276 Goody Braided Elastic Pony Tail Holders (Black) (18 Ct.) C $1.20 / PK 20362 Goody Large Green Foam Rollers (10 Pk.) $2.20 / EA 20351 Military Style Brush $1.50 / EA 80001297 Old Spice 2n1 12 oz. Pure Sport Shampoo + Conditioner SHAMPOO LIMIT 2 $7.00 / EA 80003495 Pantene 12.6 oz. Fine Volume Shampoo SHAMPOO LIMIT 2 $7.95 / EA 80001176 Pantene 12 oz. Classic Clean Conditioner CONDITIONER LIMIT 2 $7.95 / EA 80001498 Pantene Pro V 12.6 oz. Classic Clean 2-in-1 Shampoo and Conditioner SHAMPOO LIMIT 2 $7.50 / EA 80001604 Scunci Ponytail (18 Ct.) $3.00 / EA 80002209 Suave 12 oz. Daily Clarifying Shampoo SHAMPOO LIMIT 2 $1.95 / EA 26136 Suave 12 oz. Juicy Green Apple Shampoo SHAMPOO LIMIT 2 $1.95 / EA 26138 ITEM DESCRIPTION PRICE ITEM # QTY TOTAL PRICE Suave 12 oz. Refreshing Waterfall Mist Conditioner CONDITIONER LIMIT 2 $1.95 / EA 26137 Suave 12 oz. Refreshing Waterfall Mist Shampoo SHAMPOO LIMIT 2 $1.90 / EA 26139 Sulfur8 2 oz. Medicated Original Conditioner CONDITIONER LIMIT 2 $3.80 / EA 20200 Vent Hair Brush $0.75 / EA 20282 VO5 12.5 oz. Extra Body Conditioner C CONDITIONER LIMIT 2 $2.75 / EA 80000150 VO5 12.5 oz. Extra Body Shampoo C SHAMPOO LIMIT 2 $2.25 / EA 80000149 VO5 12.5 oz. Herbal Escapes Kiwi Lime Clarifying Shampoo SHAMPOO LIMIT 2 $2.00 / EA 80000151 VO5 12.5 oz. Strawberries & Cream Conditioner CONDITIONER LIMIT 2 $2.25 / EA 80000154 Ethnic Hair Care Luster’s 8 oz. Pink Oil Moisturizer $5.30 / EA 20380 Murray’s 4 oz. Superior Hair Dressing Pomade $3.30 / EA 20377 Softee 5 oz. African Crown Hairdress $2.10 / EA 24872 Softee 5 oz. Hair Food $1.70 / EA 22952 Body Wash Elementz 15 oz. Deep Sea Minerals Invigo- rating Body Wash BODY WASH LIMIT 2 $1.90 / EA 24943 Elementz 15 oz. Sea Algae Extracts Relaxing Body Wash BODY WASH LIMIT 2 $2.25 / EA 24945 Old Spice 18 oz. 3-in-1 Hair and Body Wash BODY WASH LIMIT 2 $5.00 / EA 80001207 Soap Ambi 3.5 oz. Complexion Cleansing Soap (1 Bar) SOAP LIMIT 6 $2.50 / EA 80000398 Dial 4 oz. Antibacterial Translucent Soap (1 Bar) C SOAP LIMIT 6 $1.75 / EA 20933 Dial 4 oz. Gold Soap (1 Bar) SOAP LIMIT 6 $1.50 / EA 20925 Dove 3.17 oz. Moisturizing Beauty Soap (1 Bar) SOAP LIMIT 6 $2.20 / EA 80000661 Irish Spring 3.75 oz. Icy Blast Soap (3 Bars) SOAP LIMIT 6 $3.80 / PK 26032 Lever 2000 - 4.5 oz. (1 Bar) SOAP LIMIT 6 $1.60 / EA 21385 Neutrogena 3.5 oz. Facial Bar Soap (1 Bar) SOAP LIMIT 6 $4.95 / EA 20776 Next 1 3 oz. Deodorant Soap SOAP LIMIT 6 $0.50 / EA 80003065 Next 1 5 oz. Antibacterial Bar Soap (1 Bar) SOAP LIMIT 6 $0.90 / EA 80000000 Next1 5 oz. Anti-bacterial Sport Soap (1 Bar) C SOAP LIMIT 6 $0.80 / EA 22098 Next1 5 oz. Cocoa Butter Soap (1 Bar) C SOAP LIMIT 6 $0.80 / EA 22096 Next1 5 oz. Moisturizing Soap (1 Bar) C SOAP LIMIT 6 $0.90 / EA 22097 Tone 4.25 oz. Cocoa Butter Mango Splash Soap (1 Bar) SOAP LIMIT 6 $1.80 / EA 80001664 Tone 4.25 oz. Cocoa Butter Soap (1 Bar) SOAP LIMIT 6 $1.95 / EA 22744 Zest 4 oz. Aqua Pure Soap (1 Bar) SOAP LIMIT 6 $1.60 / EA 80000487 ITEM DESCRIPTION PRICE ITEM # QTY TOTAL PRICE Zest 4 oz. Fresh Aloe Soap (1 Bar) SOAP LIMIT 6 $1.70 / EA 80000489 Skin Care Ambi 2 oz. Fade Skin Cream $9.00 / EA 80000399 Chap-Et 1 oz. Lip Conditioner $1.25 / EA 20517 Chapstick Regular .15 oz. $2.65 / EA 20513 Cocoa Butter 12 oz. Lotion C LOTIONS LIMIT 2 $1.50 / EA 20432 Dial 12 oz. Advanced Therapy Lotion LOTIONS LIMIT 2 $4.00 / EA 26045 Heritage 4.5 oz. Skin Cream Facial Cleanse LOTIONS LIMIT 2 $1.50 / EA 20646 Infuzed Island Naturals 15 oz. Body Lotion Cocoa & Shea Butter LOTIONS LIMIT 2 $2.75 / EA 24968 Infuzed Island Naturals 15 oz. Shea Butter Lotion LOTIONS LIMIT 2 $2.00 / EA 24966 Jergens 10 oz. Original Scent Lotion LOTIONS LIMIT 2 $7.00 / EA 22140 NewDay 13 oz. Bath & Shower Powder $2.00 / EA 22377 Nivea 6.8 oz. Enriched Body Lotion LOTIONS LIMIT 2 $7.70 / EA 80002182 Noxzema 2 oz. Original Cream $2.40 / EA 24537 Olay 8.4 oz. Quench Body Lotion LOTIONS LIMIT 2 $7.70 / EA 22669 Palmers 8.5 oz. Cocoa Butter Lotion LOTIONS LIMIT 2 $5.50 / EA 21910 Personal Care 20 oz. Aloe Vera Lotion LOTIONS LIMIT 2 $1.50 / EA 80001298 Personal Care 20 oz. Cocoa Butter Lotion LOTIONS LIMIT 2 $1.50 / EA 80000476 Personal Care 20 oz. Vitamin E Hand & Body Lotion LOTIONS LIMIT 2 $1.00 / EA 80000478 Personal Care 7 oz. Foaming Alcohol Free Hand Sanitizer $2.00 / EA 80002220 Rikayah 8 oz. Scented Lotion - Similar to CK One LOTIONS LIMIT 2 $2.60 / EA 20964 St Ives 10 oz. Collagen Elastin Lotion LOTIONS LIMIT 2 $10.00 / EA 24876 Suave 10 oz. Advanced Therapy Lotion LOTIONS LIMIT 2 $3.45 / EA 21926 Suave 10 oz. Cocoa Butter with Shea Lotion LOTIONS LIMIT 2 $3.45 / EA 21924 Tone 12 oz. Cocoa Butter Lotion LOTIONS LIMIT 2 $4.00 / EA 26044 Vaseline 10 oz. Total Moisture Lotion LOTIONS LIMIT 2 $6.50 / EA 21876 Woltra 1 oz. Cocoa Butter Stick LOTIONS LIMIT 2 $1.65 / EA 80001561 Deodorant Degree 1.6 oz. Shower Clean Antiperspirant DEODORANT LIMIT 2 $3.75 / EA 24194 Degree 1.7 oz. Ultra Dry Invisible Solid Deodorant DEODORANT LIMIT 2 $3.50 / EA 26334 Freshscent 1.6 oz. Stick Deodorant DEODORANT LIMIT 2 $0.70 / EA 21486 Lady Speed Stick 2.3 oz. Shower Fresh Clear Gel DEODORANT LIMIT 2 $4.00 / EA 21232 Lady Speed Stick Powder Fresh 2.3 oz. Deodorant DEODORANT LIMIT 2 $4.00 / EA 80002214 Power-Up 2.5 oz. Clear A/P Deodorant - Drive C DEODORANT LIMIT 2 $2.45 / EA 22336
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K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free
Total Total Total
Order Form AL Property & Hygiene Qtr. 1 - Women’s Ordering Dates: January 30 - February 28, 2017Please complete all info on reverse (print clearly).
ITEM DESCRIPTION PRICE ITEM # QTY TOTALPRICE
HEALTH & BEAUTYVitaminsNaturalist Premium Performance Multi-Vita-min (60 Ct.)
Hand Towel 16” X 27” White TOWELS & LINENS LIMIT 2
$2.20 / EA
8139001001
Mesh Laundry Bag 24” x 36” $3.00 / EA
20669
Towel 24” x 48” White TOWELS & LINENS LIMIT 2
$5.50 / EA
5135501001
Wash Cloth 12” X 12” (White) WASH CLOTHS LIMIT 2
$0.50 / EA
20544
Wash Cloth 12” X 12” (White) WASH CLOTHS LIMIT 2
$0.85 / EA
5063701001
Miscellaneous1.6 Quart Round Serving Saver Bowl With Lid $1.00
/ EA24150
5-7/8” Spoon (All Purpose Plastic) $0.10 / EA
20577
Acrylic Mirror w/Magnet 6” x 4.5” $2.00 / EA
20253
Black Nylon Billfold $5.25 / EA
5031401004
Cereal Bowl w/Lid 24 oz. $0.65 / EA
20580
Clear Cosmetic Bag (Hair Dryer Not Included) $3.75 / EA
5115501099
Coffee Cup 12 oz. w/Handle $1.25 / EA
80002100
Hinged Soap Dish (Soap Not Included) C $0.75 / EA
20272
Plastic Spork $0.10 / EA
20592
Timberwolf Insulated Mug - Holds up to 14 oz.
$3.15 / EA
80002207
Two Piece Soap Dish C $0.60 / EA
20273
Ultraseal 5.5 Cups Clear Container C $1.50 / EA
5050601099
AL Property & Hygiene Qtr. 1 - Women’s
Inmate’s Name ID#
Institution/Dorm/Housing#
Street Address
City State Zip
Sender’s Name
Street Address
City State Zip
Phone Number
Email (You will receive confirmation emails when the order is shipped and received.)
SHIP TO:
SENDER:
We cannot send orders from one inmate to another.
REQUIRED for order fulfillment.
PROGRAM DATES:Ordering Begins: January 30, 2017Ordering Ends: February 28, 2017Postmark date for mail orders: February 21, 2017 (Must be received by February 28, 2017)Delivery to facility: On or before March 20, 2017
WAYS TO ORDER Online: alabamapackages.comPhone: 1-800-546-6283Mail: Access Securepak (AL), 10880 Linpage Place, St. Louis, MO 63132Fax: 1-866-754-2813
ACCEPTABLE FORMS OF PAYMENT: • Credit/Debit Cards—VISA, MasterCard, Discover• Prepaid cards that have a verifiable United States address• Cashier’s check• Money order• Institutional Check
We do not accept personal checks and will return them to the sender. Credit/debit and prepaid cards will be charged on the day the order is placed. Refunds or credits will be applied to the card used for the order (allow additional time for refunds/credits on pre-paid cards). Access Securepak reserves the right to remove one or more items from the order due to insufficient payment.
SALES TAX: SALES TAX: Access Securepak® is required bythe state of Alabama to collect sales tax on merchandise. To figure sales tax amount take the subtotal and multiply it by the appropriate tax rate. Example: $63.52(subtotal) x 0.06 (tax rate) = $3.81 (tax total) $63.52 (subtotal) + $3.81 (tax total) = $67.33 (total amount due)
LIMITS: $175 maximum limit and a $25 minimum limit per inmate, per program. Multiple orders can be placed, and we will combine not to exceed the $175 dollar limit
IMPORTANT INFORMATION: Inmates’ ability to receive an order will be verified before orders are shipped. Access Securepak reserves the right to remove one or more items from the order due to insufficient amount paid for orders received.
CATALOG CHANGES: Every effort has been made to show and describe the merchandise and all information as accurately as possible. Many manufacturers make changes in design, color, package size, and style after catalog production and therefore, we reserve the right to discontinue or change product specifications without prior notice. We regret any changes that might occur and will make every effort to minimize these occurrences. Inadvertent errors in product descriptions, pricing, and special offers are not binding on Access Securepak, and may be adjusted by Access Securepak at any time. Additionally, many of our food items may contain common allergens such as milk, eggs, wheat, and peanuts. Please consult the product packaging before consuming for specific information on the ingredients contained in each product. Prices and offers are subject to change and available while supplies last. Always consult our website alabamapackages.com for the latest updates on this package program.
CUSTOMER SERVICE:alabamapackages.comAutomated system is available 24 hours a day, seven days a week1-800-546-6283Live bilingual representatives are available Monday through Friday,8:30 a.m.–11:59 p.m. EST, and Saturday, 11 a.m.–5 p.m. EST.
CALCULATE AMOUNT DUE:TAX TOTALS
Merchandise Total: x =
TOTAL AMOUNT DUE:
Credit Card Number
/
Expiration Date Security Code
Security code is last three digits of account number panel.
SELECT PAYMENT METHOD:
¨ Institutional Check ¨ Cashier’s Check ¨ Money OrderMake check or money order payable to ACCESS SECUREPAK
¨ VISA ¨ MasterCard ¨ Discover ¨ Prepaid cards
Cardholder Name
Cardholder Signature
Daytime Phone Number Today’s Date mm/dd/yyyy/ /
Order Form AL Property & Hygiene Qtr. 1 - Women’s Ordering Dates: January 30 - February 28, 2017Please complete all info on reverse (print clearly).
TAXTABLE:
Facility City TaxRate Facility City TaxRateAlabamaTherapeuticEducationFacilityWomen Columbiana 10.00% MontgomeryWomen’sFacility Montgomery 8.25%BirminghamWorkCenter Birmingham 8.00% TutwilerPrisonforWomen Wetumpka 8.00%