Order Form Mitchell County Special Property Effective: December 2017 Please complete all info on reverse (print clearly).

Size: px

Start display at page:

Download "Order Form Mitchell County Special Property Effective: December 2017 Please complete all info on reverse (print clearly)."

Ralf Walton
5 years ago
Views:

1 HEALTH & BEAUTY Soap Shampoo Dial 4 oz. Gold Soap (1 Bar) $1.65 / EA Elementz 15 oz. Daily Shampoo Eucalyptus & Mint $2.90 / EA Dove Unscented 4.25 oz. Sensitive Bath Soap (1 Bar) $3.70 / EA Pert Plus 13.5 oz. 2 in 1 Shampoo with Conditioner $6.95 / EA Lever oz. Perfectly Fresh Soap (1 Bar) $1.90 / EA Suave 2 in oz. Shampoo and Conditioner $4.85 / EA Next 1-5 oz. Anti-bacterial Sport Soap (1 Bar) C $0.80 / EA Conditioner Next 1-5 oz. Cocoa Butter Soap (1 Bar) C $0.80 / EA Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.90 / EA Next 1-5 oz. Moisturizing Soap (1 Bar) C $1.05 / EA Ethnic Hair Care Tone 4.25 oz. Cocoa Butter Soap (1 Bar) $2.00 / EA Rikayah Protein 8 oz. Styling Gel C $3.25 / EA Lotion Styling Products & Accessories Crawford 4 oz. Cocoa Butter Lotion C $0.70 / EA Black Comb $0.05 / EA Infuzed Island Naturals 15 oz. Coconut Lime & Aloe Lotion $2.50 / EA Vent Hair Brush $1.90 / EA Infuzed Island Naturals 15 oz. Shea Butter Lotion $2.50 / EA Body Wash Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash $2.80 / EA Suave 10 oz. Cocoa Butter with Shea Lotion $4.75 / EA Suave 15 oz. Everlasting Sunshine Body Wash $4.80 / EA Skin Care Blistex.21 oz. Lip Ointment $3.75 / EA 20519

2 Noxzema 2 oz. Original Cream $3.30 / EA Staydent 2.4 oz. Denture Adhesive $4.60 / EA Off Family Care 6 oz. Insect Repellent Spritz Bottle $11.70 / EA Tek Firm Straight Toothbrush C $0.65 / EA Deodorant Shaving Products Power-Up 2.5 oz. Clear A/P Deodorant - Drive C $2.95 / EA Bic Single Blade Disposable Razors (10 Pk.) $1.90 / PK Power-Up 2.5 oz. Clear A/P Deodorant - Force C $2.95 / EA Bump Stopper oz. Double Strength $6.40 / EA Power-Up 2 oz. A/P Deodorant - Bloom C $2.95 / EA Pharmaceuticals Speed Stick 3 oz. Ultimate Sport Anti-Perspirant/Deodorant Gel C $4.60 / EA Halls Cherry Flavored Cough Drops (9 Ct.) $1.85 / EA CLOTHING & ACCESSORIES Dental Care Sweats Close-Up 4 oz. Regular Gel Toothpaste $2.60 / EA Gildan Sweatpants - Gray - No Pockets Small, Medium, Large, XL, 2XL $11.10 / EA Colgate Classic Soft Toothbrush $1.30 / EA Colgate Soft Cello Wrapped Toothbrush C $0.50 / EA Gildan Sweatpants - Gray - No Pockets 3XL, 4XL, 5XL, 6XL $27.80 / EA Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste C $2.10 / EA Gildan Sweatshirt - Gray Small, Medium, Large, XL $12.20 / EA Crest 4.6 oz. Baking Soda & Peroxide Whitening Toothpaste $4.80 / EA Gildan Sweatshirt - Gray 2XL, 3XL $14.60 / EA Crest 6.4 oz. Tartar Control Toothpaste $5.55 / EA Gildan Sweatshirt - Gray 4XL, 5XL $26.95 / EA Effergrip 2.5 oz. Denture Adhesive Cream Tube $6.30 / EA T-Shirts

3 Fruit of the Loom T-Shirt - No Pocket - White Small, Medium, Large, XL $4.40 / EA Indera Mills Thermal Ankle-Length Drawers - Natural 2XL, 3XL $4.95 / EA Fruit of the Loom T-Shirt - No Pocket - White 2XL, 3XL $10.00 / EA Indera Mills Thermal Ankle-Length Drawers - Natural 4XL $8.40 / EA Gildan Oversized T-Shirt - No Pocket White 5XL $8.05 / EA Indera Mills Thermal Ankle-Length Drawers - Natural 5XL, 6XL $10.20 / EA Gildan Oversized T-Shirt - No Pocket White 4XL $8.10 / EA Indera Mills Thermal Long Sleeve Shirt - Natural Small, Medium, Large, XL $3.75 / EA Shorts Indera Mills Thermal Long Sleeve Shirt - Natural 2XL, 3XL $4.95 / EA Jam Shorts - Gray Small, Medium, Large, XL, 2XL, 3XL, 4XL $14.05 / EA Indera Mills Thermal Long Sleeve Shirt - Natural 4XL $8.40 / EA Men s Underclothing Indera Mills Thermal Long Sleeve Shirt - Natural 5XL, 6XL $10.20 / EA Andrew Scott Boxer Briefs (1 Pk.) Small, Medium, Large, XL $3.70 / EA Pajamas Andrew Scott Men s Boxers - White (1 Pk.) Small, Medium, Large, XL $3.55 / EA Innstyle Men s Short Sleeve Pajamas - Blue Small, Medium, Large, XL PAJAMAS LIMIT 1.00 $37.00 / EA Andrew Scott Men s Boxers - White (1 Pk.) 2XL, 3XL $5.75 / EA Innstyle Men s Short Sleeve Pajamas - Blue 2XL, 3XL, 4XL PAJAMAS LIMIT 1.00 $47.00 / EA Gildan Men s Boxers - White (1 Pk.) Small, Medium, Large, XL $6.15 / EA Men s Long Sleeve Pajamas - Blue Small, Medium, Large, XL PAJAMAS LIMIT 1.00 $37.00 / EA Players Men s Boxers - White (1 Pk.) 3XL, 4XL, 5XL $10.35 / EA Men s Long Sleeve Pajamas - Blue 2XL, 3XL, 4XL, 5XL, 6XL PAJAMAS LIMIT 1.00 $47.00 / EA Players Men s Boxers - White (1 Pk.) 6XL $11.10 / EA Socks Thermals Deluxe Crew Socks (1 Pair) - White $1.60 / EA Indera Mills Thermal Ankle-Length Drawers - Natural Small, Medium, Large, XL $3.75 / EA Deluxe White Quarter Socks (1 Pair) $1.55 / EA

4 Longer Tube Socks - White (1 Pair) $1.80 / EA Univ Black Padded Leather Watch Band 20mm $10.00 / EA No-Show Socks - White - (1 Pair) $1.40 / EA Univ Brown Padded Leather Watch Band 18 mm $10.00 / EA Hats Accessories Stocking Cap - Orange $3.10 / EA Handkerchief (White) $1.30 / EA Athletic Accessories SHOES Wave Enforcer Black Wave Cap $4.20 / EA Basketball Shoes Watches Alex Navarre Quartz Watch - #JEMROLP $28.65 / EA New Balance BB581WT Basketball Shoes 7, 7 (4E), 7.5, 7.5 (4E), 8, 8 (4E), 8.5, 8.5 (4E), 9, 9 (4E), 9.5, 9.5 (4E), 10, 10 (4E), 10.5, 10.5 (4E), 11, 11 (4E), 11.5, 11.5 (4E), 12, 12 (4E), 13, 13 (4E), 14, 14 (4E), 15, 15 (4E) $85.00 / EA Casio Forrester - Model FT500WC-3BVCF Watch $39.00 / EA Nike Air Overplay IX Basketball Shoe 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 13, 14, 15 $90.00 / EA Casio Quartz Analog Watch - MQ247B-2 $26.40 / EA Clear Watch C $15.95 / EA Rawlings Kingdom High Basketball Shoes (White) 6, 6 (2E), 6 (4E), 6.5, 6.5 (2E), 6.5 (4E), 7, 7 (2E), 7 (4E), 7.5, 7.5 (2E), 7.5 (4E), 8, 8 (2E), 8 (4E), 8.5, 8.5 (2E), 8.5 (4E), 9, 9 (2E), 9 (4E), 9.5, 9.5 (2E), 9.5 (4E), 10, 10 (2E), 10 (4E), 10.5, 10.5 (2E), 10.5 (4E), 11, 11 (2E), 11 (4E), 11.5, 11.5 (2E), 11.5 (4E), 12, 12 (2E), 12 (4E), 13, 13 (2E), 13 (4E) $42.50 / EA Timex Easy Reader Watch Model #T2H281 $53.55 / EA Rawlings Kingdom High Basketball Shoes (White) 14, 14 (2E), 14 (4E), 15, 15 (2E), 15 (4E) $52.50 / EA Timex Expedition Watch $67.45 / EA Reebok BB4500 Royal Basketball Shoes (White) 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15 $80.50 / EA Watch Bands Running Shoes Univ Black Padded Leather Watch Band 18 mm $10.00 / EA Rawlings Chance III Running Shoe (White) 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15 $38.00 / EA

5 Reebok Royal Nylon Running Shoes - White 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15 $69.50 / EA ELECTRONICS Portable CD Players Cross Training Shoes AMP D Clear CD Player w/digital AM/FM Radio C $49.20 / EA Rawlings Espy Cross Training Shoe 6, 6 (2E), 6 (4E), 6.5, 6.5 (2E), 6.5 (4E), 7, 7 (2E), 7 (4E), 7.5, 7.5 (2E), 7.5 (4E), 8, 8 (2E), 8 (4E), 8.5, 8.5 (2E), 8.5 (4E), 9, 9 (2E), 9 (4E), 9.5, 9.5 (2E), 9.5 (4E), 10, 10 (2E), 10 (4E), 10.5, 10.5 (2E), 10.5 (4E), 11, 11 (2E), 11 (4E), 11.5, 11.5 (2E), 11.5 (4E), 12, 12 (2E), 12 (4E), 13, 13 (2E), 13 (4E) $36.25 / EA Radios Jensen JSR-1000 Clear AM/FM Radio w/headphones C RADIO LIMIT 1.00 $29.95 / EA Rawlings Espy Cross Training Shoe 14, 14 (2E), 14 (4E), 15, 15 (2E), 15 (4E) $38.00 / EA Earbuds Sandals GPX Clear Earbuds C EARBUDS LIMIT 1.00 $2.25 / EA Cross Strap Sandals 2XL- #24356 $1.70 / EA Koss CL-3 Clear Earbuds C EARBUDS LIMIT 1.00 $5.00 / EA Cross Strap Sandals Small- #22602, Medium- #22603, Large- #22604, XL- #22615 $2.00 / EA Sentry H0230 Clear Earbuds EARBUDS LIMIT 1.00 $3.90 / EA V-Strap Thong Sandal Medium- #22600, Large- #22601 $1.85 / EA Sun Clear Earbuds (6 ft.) C EARBUDS LIMIT 1.00 $5.00 / EA Slippers Headphones Dearfoams Slippers Small 7-8, Medium 9-10, Large 11-12, XL $16.50 / EA Koss CL-2 Clear Headphones C HEADPHONES LIMIT 1.00 $8.90 / EA Accessories Koss CL-PRO Clear Headphones C HEADPHONES LIMIT 1.00 $31.30 / EA J.T. Foote Odor Absorbing Comfort Insoles $2.95 / EA Koss Recovery Headphones w/volume Control HEADPHONES LIMIT 1.00 $19.15 / EA Kiwi 54 Flat Athletic Shoe Laces - Black $2.10 / EA Batteries Kiwi 54 Flat Athletic Shoe Laces - White $2.10 / EA Ion 3 AA Batteries (4 Pk.) $2.75 / PK 21675

6 Ion 3 AAA Batteries (4 Pk.) $2.75 / PK Bic Soft Feel Pen Medium (Black) $0.80 / EA Panasonic AA Alkaline Battery (1 Pk.) $0.60 / EA Bic Soft Feel Pen Medium (Blue) $0.80 / EA Panasonic Alkaline Plus Power AA Batteries (4 Pk.) C $2.30 / PK Photo Album - Sm. Soft Cover (18 pgs.) $0.60 / EA Panasonic Alkaline Plus Power AAA Batteries (4 Pk.) C $2.30 / PK White Paper Pad 8.5 x 11 (50 Sheet Pad) $1.25 / PAD Watch Batteries Yellow #2 Pencil w/eraser $0.25 / EA Energizer Watch Battery # 392 $1.40 / EA Yellow Writing Tablet 8.5 x 14 (50 Sheet Pad) $1.90 / EA Energizer Watch Battery # 364 $0.90 / EA Art Supplies Energizer Watch Battery # ECR1216 $2.05 / EA Sketch Pad 8.5 X 11 (50 Sheet Pad) $2.10 / PAD Calculators Games Datexx DH60A Basic Clear Calculator $6.50 / EA Aviator - US Playing Cards $2.25 / EA Razors/Trimmers Aviator Pinochle US Playing Cards $2.25 / EA Braun M-60B Twist Pocket Shaver $45.00 / EA Bicycle Playing Cards $4.25 / EA THE GENERAL STORE Double Six Dominoes $3.80 / EA Stationery UNO Cards $10.90 / EA #10 Envelope $0.05 / EA Address Book Small 2.5 x 4 $1.40 / EA 20256

7 Towels & Linens Crucifix Medallion with 24 Sterling Silver Chain $70.00 / EA Bath Towel 24 x 50 (Beige) $10.80 / EA Messianic Star of David (Medallion Only) $45.00 / EA Hand Towel 16 X 27 (Beige) $3.65 / EA Messianic Star of David Pendant with 20 Sterling Silver Chain $45.00 / EA Wash Cloth 12 X 12 (Beige) $1.35 / EA Star of David Medallion Only $45.00 / EA Miscellaneous Star of David Pendant with 18 Sterling Silver Chain $70.00 / EA Cereal Bowl w/lid 24 oz. $2.00 / EA Prayer Beads Clear 22 oz. Thermal Mug C $3.20 / EA Islam Prayer Beads - Wood $6.50 / EA Coffee Cup w/handle 12 oz. $1.50 / EA Plastic 22 oz. Tumbler (w/lid) $0.85 / EA Toothbrush Holder C $0.50 / EA FAITH ITEMS Prayer Rug Prayer Rug 44 x 26 (Sizes/Colors May Vary) $25.00 / EA Jewelry & Pendants Allah Pendant with 24 Sterling Silver Chain $70.00 / EA Cross Pendant with 24 Sterling Silver Chain $70.00 / 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 We cannot send orders from one inmate to another.

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 We cannot send orders from one inmate to another. (You will receive confirmation s when the order is placed and shipped) ID# REQUIRED for order fulfillment. CALCULATE AMOUNT DUE: TAX S Merchandise : x 1.07 = Processing Fee: $4.00 x 1.07 = $4.28 AMOUNT DUE: SELECT PAYMENT METHOD: Cashier s Check Money Order Make check or money order payable to ACCESS SECUREPAK VISA MasterCard Discover Prepaid PROGRAM DATES: Ordering Begins: December 4, 2017 Delivery to facility: Monthly WAYS TO ORDER: Online: mitchellcountypackage.com Phone: Mail: Access Securepak (GA), 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 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 Georgia to collect 7% sales tax on all merchandise including the processing fee. Please see the tax calculation example below for more information. Tax calculation example: $ merchandise total x 1.07 (tax rate) = $ merchandise subtotal $4.00 processing fee x 1.07 (tax rate) = $4.28 processing fee subtotal $ merchandise subtotal + $4.28 processing fee subtotal = $ total amount due ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable. LIMITS: Maximum $120 of product per inmate. Multiple packages can be ordered, and we will consolidate orders not to exceed the maximum $120 of product per month. 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 mitchellcountypackage.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: mitchellcountypackage.com Automated system is available 24 hours a day, seven days a week Live 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. Cardholder Name Cardholder Signature Daytime Phone Number / / Today s Date mm/dd/yyyy Credit Card Number / Expiration Date Security Code Security code is last three digits of account number panel.

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

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