Order Form Alabama DOC Quarter 1 Men s Program Ordering Dates: February 1 - February 28, 2019 Please complete all info on reverse (print clearly).

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1 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY HEALTH & BEAUTY Ethnic Hair Care Luster s 8 oz. Pink Oil Moisturizer Murray s 4 oz. Superior Hair Dressing Pomade Softee 5 oz. African Crown Hair Dress $5.30 / EA $3.30 / EA $2.10 / EA Shampoo & Conditioner Balsam & Protein 12 oz. Shampoo C Clairol Herbal Essences oz. Hello Hydration Conditioner Clairol Herbal Essences oz. Hello Hydration Shampoo $1.80 / EA $6.50 / EA $6.00 / EA Suave 12.6 oz. 2 in 1 Anti Dandruff Classic Clean Shampoo Suave 12 oz. Daily Clarifying Shampoo Suave 12 oz. Essentials Juicy Green Apple Shampoo Suave 12 oz. Essentials Refreshing Waterfall Mist Conditioner $4.00 / EA $1.95 / EA $1.95 / EA $1.95 / EA Softee 5 oz. Coconut Oil Hair & Scalp Conditioner Softee 5 oz. Hair Food Sulfur8 2 oz. Medicated Original Conditioner Hair Care $2.00 / EA $1.70 / EA $3.80 / EA Professional Comb (plastic) $0.50 / EA Crawford 12 oz. Dandruff Shampoo C Crawford 4 oz. Balsam & Protein Conditioner C Elementz 15 oz. Daily Shampoo Eucalyptus & Mint Elementz 15 oz. Dandruff Shampoo Almond/Shea Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.25 / EA $0.65 / EA $2.25 / EA $3.00 / EA $2.10 / EA Suave 12 oz. Essentials Refreshing Waterfall Mist Shampoo VO oz. Extra Body Conditioner C VO oz. Extra Body Shampoo C VO oz. Herbal Escapes Kiwi Lime Clarifying Shampoo $1.90 / EA $2.75 / EA $2.25 / EA $2.00 / EA /2 Professional Comb $0.50 / EA /4 Afro Comb $0.60 / EA Elementz 15 oz. Thickening Shampoo w/aloe & Ginseng Goodsense 11 oz. Medicated Dandruff Shampoo $1.90 / EA $4.15 / EA VO oz. Men s 3-in-1 Ocean Surge VO oz. Strawberries & Cream Conditioner Styling Products $1.90 / EA $2.25 / EA Club Brush $2.20 / EA Old Spice 2 in 1 12 oz. Pure Sport Shampoo + Conditioner $7.00 / EA Elementz 15 oz. Styling Gel w/aloe Vera $2.25 / EA Conair Smooth & Style Comb $1.50 / EA Pantene 12.6 oz. Fine Volume Shampoo $7.95 / EA Body Wash Military Style Brush $1.50 / EA Pantene 12 oz. Classic Clean Conditioner $7.95 / EA Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash $2.25 / EA Vent Hair Brush $0.75 / EA Pantene Pro V 12.6 oz. Classic Clean 2-in-1 Shampoo and Conditioner $7.50 / EA Elementz 15 oz. Deep Sea Minerals Invigorating Body Wash $1.90 / EA 24943

2 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Elementz 15 oz. Sea Algae Extracts Relaxing Body Wash $2.25 / EA Next 1-5 oz. Anti-bacterial Sport Soap (1 bar) C $0.80 / EA Infuzed 15 oz. Island Naturals Body Lotion Cocoa & Shea Butter $2.75 / EA Old Spice 18 oz. 3-in-1 Hair and Body Wash $5.00 / EA Next 1-5 oz. Antibacterial Bar Soap (1 bar) $0.90 / EA Infuzed Island Naturals 15 oz. Shea Butter Lotion $2.00 / EA Power Up 15 oz. Inspired by Gucci Body Wash $3.79 / EA Next 1-5 oz. Cocoa Butter Soap (1 bar) C $0.80 / EA Jergens 10 oz. Original Scent Lotion $7.00 / EA Power Up 15 oz. Inspired by Polo Body Wash $3.79 / EA Next 1-5 oz. Moisturizing Soap (1 bar) C $0.90 / EA NewDay 13 oz. Bath & Shower Powder $2.00 / EA Soap Tone 4.25 oz. Cocoa Butter Mango Splash Soap (1 bar) $1.80 / EA Nivea 6.8 oz. Essentially Enriched Body Lotion $7.70 / EA Ambi 3.5 oz. Complexion Cleansing Soap (1 bar) $2.50 / EA Tone 4.25 oz. Cocoa Butter Soap (1 bar) $1.95 / EA Noxzema 2 oz. Original Cream $2.40 / EA Dial 3.2 oz. Basics Hypoallergenic Soap (1 bar) $0.90 / EA Zest 4 oz. Aqua Pure Soap (1 bar) $1.60 / EA Olay 8.4 oz. Quench Body Lotion $7.70 / EA Dial 4 oz. Antibacterial Translucent Soap (1 bar) C $1.75 / EA Zest 4 oz. Fresh Aloe Soap (1 bar) $1.70 / EA Palmers 8.5 oz. Cocoa Butter Lotion $5.50 / EA Dial 4 oz. Cranberry Antioxidant Soap (3 bars) $4.25 / PK Skin Care Personal Care 20 oz. Aloe Vera Lotion $1.50 / EA Dial 4 oz. Gold Soap (1 bar) $1.50 / EA Ambi 2 oz. Fade Skin Cream $9.00 / EA Personal Care 20 oz. Cocoa Butter Lotion $1.50 / EA Dove 3.17 oz. Moisturizing Beauty Soap (1 bar) $2.20 / EA Chap-Et.16 oz. Lip Balm $1.25 / EA Personal Care 20 oz. Vitamin E Hand & Body Lotion $1.00 / EA Irish Spring 3.75 oz. Icy Blast Deodorant Soap (3 bars) $3.80 / PK Chapstick.15 oz. Classic Lip Balm $2.65 / EA Personal Care 7 oz. Foaming Alcohol Free Hand Sanitizer $2.00 / EA Lever oz. (1 Bar) Neutrogena 3.5 oz. Facial Bar Soap (1 bar) Next 1-3 oz. Deodorant Soap (1 bar) $1.60 / EA $4.95 / EA $0.60 / EA Cocoa Butter 12 oz. Lotion C GoodSense 4 oz. SPF 30 Sunscreen Lotion Heritage 4.5 oz. Skin Cream Facial Cleanse $1.50 / EA $3.95 / EA $1.50 / EA Rikayah 8 oz. Scented Lotion - Similar to CK One Rikayah 8 oz. Scented Lotion - Similar to Eternity St. Ives 10 oz. Collagen Elastin Moisturizer $2.60 / EA $2.60 / EA $10.00 / EA 24876

3 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Suave 10 oz. Advanced Therapy Lotion $3.45 / EA Speed Stick 2.7 oz. Stain Guard Fresh Anti-Perspirant/Deodorant $4.50 / EA Crest 4.6 oz. Baking Soda & Peroxide Whitening Toothpaste $4.00 / EA Suave 10 oz. Cocoa Butter with Shea Lotion $3.45 / EA Speed Stick 3 oz. Ultimate Sport A/P Deodorant $4.00 / EA Crest 4.8 oz. 3D Artic Fresh Whitening Toothpaste $7.50 / EA Tone 12 oz. Cocoa Butter Lotion $4.00 / EA Dental Care Crest 4.8 oz. 3D Radiant Mint Whitening Toothpaste $7.50 / EA Vaseline 10 oz. Total Moisture Lotion $6.50 / EA Aim 16 oz. Mouthwash MOUTHWASH LIMIT 2 $2.50 / EA Dental Floss Pick & Gum Stimulator (35 Pk.) C $1.50 / PK Woltra 1 oz. Cocoa Butter Stick $1.65 / EA Aquafresh 5.6 oz. Sensitive Toothpaste $5.50 / EA Freshmint 4.3 oz. Sensitive Toothpaste $1.75 / EA Deodorant Degree 1.6 oz. Shower Clean Antiperspirant Degree 1.7 oz. Ultra Dry Invisible Solid Deodorant Dry Idea 3.25 oz. Unscented Antiperspirant Deodorant $3.75 / EA $3.50 / EA $7.00 / EA Arm & Hammer 4.3 oz. Truly Radiant Rejuvenating Whitening Toothpaste Close-Up 16 oz. Cinnamon Mouthwash MOUTHWASH LIMIT 2 Close-Up 4 oz. Regular Gel Toothpaste Colgate 4.2 oz. Anti-Cavity Toothpaste $7.00 / EA $2.50 / EA $1.60 / EA $3.00 / EA NWI Toothbrush Holder - Clear $0.60 / EA Tek Firm Straight Toothbrush C Tek Medium Straight Toothbrush C TEK Soft Straight Toothbrush C $0.80 / EA $0.60 / EA $0.80 / EA Freshscent 1.6 oz. Stick Deodorant Power-Up 2.5 oz. Clear A/P Deodorant - Drive C Power-Up 2.5 oz. Clear A/P Deodorant - Force C Power-Up 2.5 oz. Clear Deodorant - Drive C Power-Up 3 oz. Force Clear Roll On A/P Deodorant Speed Stick 1.8 oz. Active Fresh Deodorant $0.70 / EA $2.45 / EA $2.40 / EA $1.75 / EA $1.75 / EA $3.00 / EA Colgate 4 oz. Great Regular Flavor Anticavity Toothpaste Colgate 5 oz. Optic White Toothpaste Colgate 6 oz. Tartar Control Crisp Mint Toothpaste Colgate Soft Cello Wrapped Toothbrush C Colgate Triple Action Full Soft Head Toothbrush Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste C $2.60 / EA $7.00 / EA $4.00 / EA $0.50 / EA $2.20 / EA $1.50 / EA Ultra Brite 6 oz. Advanced Whitening Toothpaste Shaving Products Bic Single Blade Disposable Razor (6 Pk.) C RAZORS LIMIT 1 Gillette Series 2.54 oz. After Shave Lotion Sensitive Skin $2.10 / EA $3.40 / PK $4.40 / EA Personal Care 5.9 oz. Shave Gel Sensitive Skin $1.50 / EA Pro-Tection 7 oz. After-Shave Gel C $2.50 / EA 22318

4 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Vitamins Jerzee Sweatpants - White XL, 2XL, 3XL SWEATPANTS LIMIT 2 $13.50 / EA Hanes Tagless Crew Neck T-Shirt - White (1 Pk.) Small, $5.00 / EA Mason Naturals Multivitiamin (60 Ct.) $4.80 / EA Naturalist Vitamin C 500 mg. (100 Ct.) $3.50 / EA Pharmaceuticals Russell Sweatshirt - White Small, Medium, Large SWEATSHIRTS LIMIT 2 Russell Sweatshirt - White XL, 2XL, 3XL, 4XL SWEATSHIRTS LIMIT 2 T-Shirts $10.50 / EA $11.50 / EA Hanes Tagless Crew Neck T-Shirt - White (1 Pk.) 2XL, 3XL Men s Athletic T-Shirt - (3 Pk.) Small, Medium, $6.50 / EA $7.80 / PK Goodsense 2 oz. Hemorrhoidal Ointment Goodsense 4 oz. Tussin Cough Syrup GoodSense Sugar Free Black Cherry Cough Drops (25 Ct.) C R Halls Sugar Free Assorted Mint Cough Drops (25 Ct.) Halls Sugar Free Honey Lemon Cough Drops (25 Ct.) Heritage 3 oz. Medicated Anti-Fungal Powder Naproxen 220 mg (50 Ct.) $5.25 / EA $3.00 / EA $2.25 / EA $3.80 / EA $3.50 / EA $1.45 / EA $5.95 / EA NewDay Cotton Swabs (100 Ct.) C R $0.80 / EA Andrew Scott Crew Neck T-Shirt - White (1 Pk.) Small, Andrew Scott Crew Neck T-Shirt - White (1 Pk.) 2XL, 3XL, 4XL, 5XL Andrew Scott Select Crewneck T-Shirt - White (1 Pk.) Small, Andrew Scott Select Crewneck T-Shirt - White (1 Pk.) 2XL, 3XL Andrew Scott White Athletic Shirt (3 Pk.) Small,, 2XL, 3XL Fruit of the Loom T-Shirt - No Pocket - White Small, Fruit of the Loom T-Shirt - No Pocket - White 2XL $2.00 / EA $2.35 / EA $2.25 / EA $2.45 / EA $3.25 / PK $3.80 / EA $7.50 / EA Men s Athletic T-Shirt - (3 Pk.) 2XL, 3XL Players Pride Crewneck T-Shirt (2 Pk.) White 4XL,, 7XL/8XL Players V-Neck T-Shirt (2 Pk.) 4XL, Pro Club Comfortweight Long Sleeve Crew T-Shirt - White Small,, 2XL, 3XL, 4XL, 5XL Pro Club Dry Pro Fit Short Sleeve T-Shirt - White Small, Pro Club Dry Pro Fit Short Sleeve T-Shirt - White 2XL, 3XL Pro Club Dry Pro Fit Short Sleeve T-Shirt - White 4XL, 5XL, 7XL $10.60 / PK $16.50 / PK $16.50 / PK $7.00 / EA $16.25 / EA $17.95 / EA $19.95 / EA Rolaids Regular Strength Antacid (1 Roll) $1.50 / EA Fruit of the Loom T-Shirt - No Pocket - White 3XL $8.50 / EA Pro Club Heavyweight Crew T-Shirt - White Small, $7.00 / EA CLOTHING & ACCESSORIES Sweats Hanes Beefy T-Shirt - White (1 Pk.) Small, Medium, $3.10 / EA Pro Club Heavyweight Crew T-Shirt - White 2XL, 3XL, 4XL $11.00 / EA Jerzee Sweatpants - White Small, Medium, Large SWEATPANTS LIMIT 2 $12.50 / EA Hanes Beefy T-Shirt - White (1 Pk.) 2XL, 3XL, 4XL, $5.00 / EA Pro Club Short Sleeve Crewneck T-Shirt - White Small, $5.50 / EA

5 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Pro Club Short Sleeve Crewneck T-Shirt - White 2XL, 3XL $7.20 / EA Under Armour Core Crew Shirt - White 3XL $22.00 / EA Russell 9 IN Nylon Tricott Mesh Shorts - White 4XL, $10.50 / EA Pro Club Short Sleeve Crewneck T-Shirt - White 4XL, 5XL, 7XL Russell Athletic T-Shirt Long Sleeve - White 4XL, 6XL Russell Athletic T-Shirt Long Sleeve - White Small,, 2XL, 3XL Russell Raglan Dri-Power Crew T-Shirt - White - (1 Pk.) Small,, 2XL Russell Raglan Dri-Power Crew T-Shirt - White - (1 Pk.) 3XL, 4XL Under Armour Armourvent Mesh Crewneck Shirt Under Armour Armourvent Mesh Crewneck Shirt 2XL, 3XL, 4XL, 5XL Under Armour Charged Cotton Sport-Style T-Shirt - White/Graphite Small, Medium, Large $9.00 / EA $9.55 / EA $10.30 / EA $15.95 / EA $17.55 / EA $39.00 / EA $41.00 / EA $24.00 / EA Under Armour Cotton Stretch Shirt Small, Under Armour Cotton Stretch Shirt 4XL, 5XL Under Armour Long Sleeve Charged Crew Shirt White Small, Large Under Armour Long Sleeve Charged Crew Shirt White 2XL Under Armour Long Sleeve Crew Tech Tee White Small, Under Armour Long Sleeve Crew Tech Tee White 3XL Under Armour Maquina V-Neck Shirt - White Small, Under Armour Tech Short Sleeve Compression Shirt (White) Small,, 2XL, 3XL, 4XL Shorts $20.00 / EA $24.00 / EA $29.00 / EA $31.00 / EA $29.00 / EA $31.00 / EA $29.50 / EA $24.50 / EA Under Armour Golazo Shorts - White Small, Medium, $20.00 / EA , 2XL Men s Underwear Andrew Scott Men s Boxers - White (1 Pk.) Small, Andrew Scott Men s Boxers - White (1 Pk.) 2XL, 3XL, 4XL, Andrew Scott Men s Briefs - White (1 Pk.) Small, Andrew Scott Men s Briefs - White (1 Pk.) 2XL, 3XL Gildan Men s Boxers - White (1 Pk.) Small, Medium, Gildan Men s Boxers - White (1 Pk.) 2XL Under Armour Boxer Brief Small, Medium, Large, XL, 2XL $3.50 / EA $4.75 / EA $1.35 / EA $1.75 / EA $2.75 / EA $2.85 / EA $20.00 / EA Under Armour Charged Cotton Sport-Style T-Shirt - White/Graphite 2XL $25.00 / EA Cotton Gym Shorts - White Small, Medium, Large, XL, 4XL $8.00 / EA Under Armour Boxer Brief 3XL $21.00 / EA Under Armour Charged Cotton Sport-Style T-Shirt - White/Graphite 3XL $26.00 / EA Cotton Gym Shorts - White 2XL, 3XL $11.50 / EA Thermals Under Armour Core Crew Shirt - White Small, $20.00 / EA Russell 2-Panel Jersey Shorts - White Small, Medium,, 2XL, 3XL $9.30 / EA Indera Mills Thermal Drawers - White Small, THERMAL PANTS LIMIT 2 $3.50 / EA Under Armour Core Crew Shirt - White 2XL $21.00 / EA Russell 9 IN Nylon Tricott Mesh Shorts - White Small, Medium, Large, 2XL $3.00 / EA Indera Mills Thermal Drawers - White 2XL, 3XL, 4XL, THERMAL PANTS LIMIT 2 $4.80 / EA

6 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Indera Mills Thermal Drawers - White Medium TALL, Large TALL, XL TALL THERMAL PANTS LIMIT 2 $5.10 / EA Flex Fit Hat - White Small/Medium, Medium/Large, Large/XL $4.75 / EA SHOES Sandals Indera Mills Thermal Drawers - White 2XL TALL, 3XL TALL THERMAL PANTS LIMIT 2 $5.90 / EA Stocking Cap - White $1.50 / EA Pro Club Black Slide Sandals 7, 8, 9, 10, 11, 12, 13 $9.00 / EA Indera Mills Thermal Shirt - White Small, Medium, THERMAL SHIRTS LIMIT 2 $3.50 / EA Watches Alex Navarre Quartz Watch - #JEMROLP $14.25 / EA Under Armour Black/White M Ignite V Shower Shoe 7, 8, 9, 10, 11, 12 $32.00 / EA Indera Mills Thermal Shirt - White 2XL, 3XL, 4XL, THERMAL SHIRTS LIMIT 2 $4.85 / EA Beverly Hills Polo Club Watch #52924 $25.00 / EA Under Armour Black/White M Ignite V Shower Shoe 13, 14 $34.00 / EA Indera Mills Thermal Shirt - White Medium TALL, Large TALL, XL TALL THERMAL SHIRTS LIMIT 2 $5.10 / EA Casio Analog Style #MRW200H-1BVCF Watch $32.40 / EA Under Armour Slide Shoe Locker III (Black) 7, 8, 9, 10, 11, 12 $19.00 / EA Indera Mills Thermal Shirt - White 2XL TALL, 3XL TALL THERMAL SHIRTS LIMIT 2 $5.90 / EA Casio Digital Watch - Model #F-91W-1 $24.00 / EA Under Armour Slide Shoe Locker III (Black) 13, 14 $21.00 / EA Pajamas Clear Watch C $7.75 / EA V-Strap Thong Sandal Medium- #22600, Large- #22601 $1.75 / EA Innstyle Men s Short Sleeve Pajamas - White Small,, 2XL $27.95 / EA Geneva Digital Watch w/light Clear $11.50 / EA ELECTRONICS Innstyle Men s Short Sleeve Pajamas - White 3XL $29.95 / EA Kenneth Cole Reaction Watch UL 1131 $30.00 / EA Radios Innstyle Men s Short Sleeve Pajamas - White 4XL, Men s Long Sleeve Pajamas - White Small, Medium, Large $33.00 / EA $28.95 / EA Timex Ironman Watch T5K821 Accessories $34.50 / EA Way Vinyl Poncho $2.40 / EA Jensen JSR-1000 Clear AM/FM Radio w/headphones C RADIO LIMIT 1 Earbuds JVC Gumy Plus White Earbuds $27.00 / EA $7.10 / EA Men s Long Sleeve Pajamas - White XL, 2XL, 3XL, 4XL, $29.95 / EA Handkerchief (White) $0.65 / EA Koss CL-24N Earbuds w/4ft. Cord $27.75 / EA Hats Wave Enforcer Do-Rag (White) $2.60 / EA Koss CL-3 Clear Earbuds C $2.50 / EA Cotton Twill Baseball Cap - White $1.80 / EA White Canvas Gloves $1.35 / EA Koss KE5K- 4 Earbuds $5.00 / EA

7 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Koss Plug Earbuds $19.20 / EA Calculators Towel 24 x 48 Off-White TOWELS & LINENS LIMIT 2 $5.50 / EA Skull Candy Smokin 2 Earbuds $16.00 / EA Datexx DH-122G Clear Calculator C CALCULATOR LIMIT 1 $2.75 / EA Washcloth 12 X 12 (White) WASHCLOTHS LIMIT 2 $0.50 / EA Skull Candy Inked Earbuds $12.30 / EA Datexx Scientific Calculator Model# DS700-2BU CALCULATOR LIMIT 1 $13.00 / EA Washcloth 12 X 12 (White) WASHCLOTHS LIMIT 2 $0.85 / EA Sony MDR-E9LP Fashion Earbuds Headphones $10.00 / EA THE GENERAL STORE Stationery Miscellaneous 1.6 Quart Round Serving Saver Bowl With Lid $1.00 / EA #10 Envelope (50 Ct.) $1.50 / BX Koss CL-10 Clear Headphones C $41.15 / EA /8 Spoon (All Purpose Plastic) $0.10 / EA Address Book 5 x 7 $3.50 / EA Koss CL-2 Clear Headphones C $7.95 / EA Acrylic Mirror w/magnet 6 x 4.5 $2.00 / EA Address Book Small 2.5 x 4 $1.50 / EA Koss CL-20 Headphones C $22.50 / EA Black Nylon Billfold $5.25 / EA Koss CL-5 Headphones C $6.50 / EA Bic Black Crystal Pen (1 Ct.) PENS LIMIT 3 $0.30 / EA Coffee Cup w/handle 12 oz. $1.25 / EA Koss KPH7/KPH5 Headphones $5.25 / EA Bic Blue Crystal Pen (1 Ct.) PENS LIMIT 3 $0.30 / EA Hinged Soap Dish (Soap Not Included) C $0.75 / EA Koss KTX Pro 1 Headphones $26.50 / EA Legal Pad Yellow 8.5 x 14 (50 Sheet Pad) PAPER LIMIT 4 $1.35 / PAD Plastic Spork $0.10 / EA Koss Recovery Headphones w/volume Control $16.50 / EA White Paper Pad 8.5 x 11 (50 Sheet Pad) PAPER LIMIT 4 Linens $1.25 / PAD Timberwolf Insulated Mug - Holds up to 14 oz. $3.15 / EA Koss Replacement Pad for all Clear CL-10 $1.25 / EA Bath Towel 24 x 50 (White) TOWELS & LINENS LIMIT 2 $6.00 / EA Toilet Paper (One Roll) $1.00 / EA Koss Sporta Pro Headphones $39.00 / EA Hand Towel 16 X 27 White TOWELS & LINENS LIMIT 2 $2.20 / EA Two Piece Soap Dish C $0.60 / EA Sentry Clear Dura-Flex Xtream Headphones $15.00 / EA Mesh Laundry Bag 24 x 36 TOWELS & LINENS LIMIT 2 $3.00 / EA Skull Candy Anti Headphones $27.99 / EA

SHIP TO: Inmate s Name Institution/Dorm/Housing# Street Address City State Zip SENDER: Sender s Name Street Address City State Zip Phone Number Email CALCULATE AMOUNT DUE: We cannot send orders from

8 SHIP TO: Inmate s Name Institution/Dorm/Housing# Street Address City State Zip SENDER: Sender s Name Street Address City State Zip Phone Number CALCULATE AMOUNT DUE: We cannot send orders from one inmate to another. (You will receive confirmation s when the order is placed and shipped.) ID# TAX (See Chart) Merchandise Total: x = AMOUNT DUE: REQUIRED for order fulfillment. S PROGRAM DATES: Ordering Begins: February 1, 2019 Ordering Ends: February 28, 2019 Postmark date for mail orders: February 21, 2019 Orders must be received by: February 28, 2019 Delivery to facility: On or before March 22, 2019 WAYS TO ORDER: Online: alabamapackages.com Phone: Mail: Access Securepak (AL) Linpage Place St. Louis, MO Fax: 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 reserves 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. Tax calculation example: $ merchandise total x 1.07 (tax rate) = $ total amount due LIMITS: Maximum $175 and a $25 minimum 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 as accurately as possible. Because many manufacturers change an item s design, color, package size and style after our catalog is produced, 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 we may make adjustments at any time. Additionally, many of our food items may contain common allergens such as milk, eggs, wheat and peanuts. Before consuming a food item, please consult the product packaging for specific information on its ingredients. Prices and offers are subject to change and available while supplies last. Always consult the alabamapackages.com website for the latest updates on this package program. In the event of a back order, may we substitute like items of equal or greater value? Note: unless you choose NO, we may substitute for out-of-stock or restricted items. _YES _NO CUSTOMER SERVICE: alabamapackages.com Automated system is available 24 hours a day, seven days a week Live bilingual representatives are available Monday through Friday, 7:30 a.m. 11:00 p.m. CST, and Saturday, 10 a.m. 4 p.m. CST. SELECT PAYMENT METHOD: Institutional Check Cashier s Check Money Order Make check or money order payable to ACCESS SECUREPAK ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable. VISA MasterCard Discover Cardholder Name Cardholder Signature Daytime Phone Number Credit Card Number / Expiration Date Security Code / / Today s Date mm/dd/yyyy Security code is last three digits of account number panel. TAX TABLE: Facility Name Zip Code Tax Rate Facility Name Zip Code Tax Rate Facility Name Zip Code Tax Rate Alabama Therapeutic Education Facility % Elba Work Center % Limestone Correctional Facility % Alex City Work Center % Elmore Correction Facility % Loxley Work Center % Bibb Correctional Facility % Fountain Correctional Facility % Mobile Work Center % Bullock Correctional Facility % Frank Lee Correctional Facility % North Alabama Work Release % Camden Work Center % Hamilton Aged & Infirmary % Red Eagle Work Center % Childersburg Work Center % Hamilton Work Center % St Clair Correctional Facility % Donaldson Draper Correctional Facility Facility % 6.50% Holman J. O. Davis Correctional Facility % Staton Correctional Facility % Draper Easterling Correctional Facility Facility % 9.50% J. Kilby O. Davis Correctional Correctional Facility Facility % 8.25% Ventress Correctional Facility % Easterling Correctional Facility % Kilby Correctional Facility %

Order Form AL Property & Hygiene Qtr. 3 - Women s Ordering Dates: July 31 - August 30, 2017 Please complete all info on reverse (print clearly).

Order Form AL Property & Hygiene Qtr. 3 - Women s Ordering Dates: July 31 - August 30, 2017 Please complete all info on reverse (print clearly). HEALTH & BEAUTY Goody Large Green Foam Rollers (10 Pk.) $2.20 / EA 20351 Vitamins Mason Naturals Multivitiamin (60 Ct.) $4.80 / EA 80003681 Military Style Brush $1.50 / EA 80001297 Naturalist Vitamin C