K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Total Total Order Form AL Property & Hygiene Qtr. 3 - Men’s Ordering Dates: July 31 - August 30, 2017 Please complete all info on reverse (print clearly). ITEM DESCRIPTION PRICE ITEM # Size QTY TOTAL PRICE HEALTH & BEAUTY Vitamins Mason Naturals Multivitiamin (60 Ct.) $4.80 / EA 80003681 Naturalist 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 Conditioner C CONDITIONER LIMIT 2 $0.65 / EA 20025 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 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 ITEM DESCRIPTION PRICE ITEM # Size QTY TOTAL PRICE 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 Suave 12.6 oz. 2 in 1 Anti Dandruff Classic Clean SHAMPOO LIMIT 2 $4.00 / EA 80002089 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 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. Men’s 3-in-1 Ocean Surge SHAMPOO LIMIT 2 $1.90 / EA 80000226 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 Hair Dress $2.10 / EA 24872 Softee 5 oz. Coconut Oil Hair & Scalp Conditioner CONDITIONER LIMIT 2 $2.00 / EA 22951 Softee 5 oz. Hair Food $1.70 / EA 22952 Body Wash Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash BODY WASH LIMIT 2 $2.25 / EA 24942 Elementz 15 oz. Deep Sea Minerals Invigorating Body Wash BODY WASH LIMIT 2 $1.90 / EA 24943
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K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free
Total Total
Order Form AL Property & Hygiene Qtr. 3 - Men’s Ordering Dates: July 31 - August 30, 2017Please complete all info on reverse (print clearly).
ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE
HEALTH & BEAUTY
Vitamins
Mason Naturals Multivitiamin (60 Ct.) $4.80 / EA 80003681
Naturalist Vitamin C 500 mg. (100 Ct.) $3.50 / EA 21341
Hand Towel 16” X 27” White TOWELS & LINENS LIMIT 2
$2.20 / EA 8139001001
Mesh Laundry Bag 24” x 36” TOWELS & LINENS LIMIT 2
$3.00 / EA 20669
Towel 24” x 48” White TOWELS & LINENS LIMIT 2
$5.50 / EA 5135501001
Washcloth 12” X 12” (White) WASHCLOTHS LIMIT 2
$0.50 / EA 20544
Washcloth 12” X 12” (White) WASHCLOTHS LIMIT 2
$0.85 / EA 5063701001
Miscellaneous
1.6 Quart Round Serving Saver Bowl With Lid $1.00 / EA 24150
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
Coffee Cup w/Handle 12 oz. $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
Toilet Paper (One Roll) $1.00 / EA 21330
Two Piece Soap Dish C $0.60 / EA 20273
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 placed and shipped)
SHIP TO:
SENDER:
We cannot send orders from one inmate to another.
REQUIRED for order fulfillment.
PROGRAM DATES:Ordering Begins: July 31, 2017Ordering Ends: August 30, 2017Postmark date for mail orders: August 23, 2017Orders must be received by: August 30, 2017Delivery to facility: On or before September 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 prepaid cards). Access Securepak re-serves the right to remove one or more items from the order due to insufficient payment.
SALES TAX: Access Securepak is required by the state of Alabama to collect sales tax on all merchandise. Please see the tax calculation example and tax table below for more information. Example: $173.50 merchandise total x 1.07 (tax rate) = $185.65 total amount due
ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable.
LIMITS: $175 limit and a $25 minimum limit per inmate, per program. Multiple packages can be ordered, and we will consolidate orders not to exceed the $175 limit.
CATALOG CHANGES: Every effort has been made to show and describe the merchandise and all information as accurately as possible. Many manufacturers make chang-es 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 Ac-cess 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 throughFriday, 7:30 a.m.–11:00 p.m. CST, and Saturday, 10 a.m.–4 p.m. C ST.
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
Cardholder Name
Cardholder Signature
Daytime Phone Number Today’s Date mm/dd/yyyy/ /
Order Form AL Property & Hygiene Qtr. 3 - Men’s Ordering Dates: July 31 - August 30, 2017Please complete all info on reverse (print clearly).