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

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Marjorie Cecilia Preston
6 years ago
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1 HEALTH & BEAUTY Goody Large Green Foam Rollers (10 Pk.) $2.20 / EA Vitamins Mason Naturals Multivitiamin (60 Ct.) $4.80 / EA Military Style Brush $1.50 / EA Naturalist Vitamin C 500 mg. (100 Ct.) $3.50 / EA Hair Care 7 Professional Comb (plastic) $0.50 / EA Old Spice 2n1 12 oz. Pure Sport Shampoo + Conditioner Pantene 12.6 oz. Fine Volume Shampoo Pantene 12 oz. Classic Clean Conditioner $7.00 / EA $7.95 / EA $7.95 / EA /2 Professional Comb $0.50 / EA /4 Afro Comb C $0.60 / EA Balsam & Protein 12 oz. Shampoo C Clairol Herbal Essences oz. Hello Hydration Conditioner Clairol Herbal Essences Hello Hydration Shampoo oz. $1.80 / EA $6.50 / EA $6.00 / EA Club Brush $2.20 / EA Conair Smooth & Style Comb $1.50 / EA Crawford 12 oz. Dandruff Shampoo C $2.25 / EA Pantene Pro V 12.6 oz. Classic Clean 2-in-1 Shampoo and Conditioner $7.50 / EA Scunci Ponytail (18 Ct.) $3.00 / EA Suave 12 oz. Daily Clarifying Shampoo Suave 12 oz. Juicy Green Apple Shampoo Suave 12 oz. Refreshing Waterfall Mist Conditioner Suave 12 oz. Refreshing Waterfall Mist Shampoo Sulfur8 2 oz. Medicated Original Conditioner $1.95 / EA $1.95 / EA $1.95 / EA $1.90 / EA $3.80 / EA Vent Hair Brush $0.75 / EA 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 Elementz 15 oz. Styling Gel w/aloe Vera HAIR STYLING LIMIT 2 $0.65 / EA $2.25 / EA $3.00 / EA $2.10 / EA $2.25 / EA VO oz. Extra Body Conditioner C VO oz. Extra Body Shampoo C VO oz. Herbal Escapes Kiwi Lime Clarifying Shampoo VO oz. Strawberries & Cream Conditioner Ethnic Hair Care $2.75 / EA $2.25 / EA $2.00 / EA $2.25 / EA Elementz 15 oz. Thickening Shampoo w/aloe & Ginseng Goodsense 11 oz. Anti-Dandruff Shampoo $1.90 / EA $4.15 / EA Luster s 8 oz. Pink Oil Moisturizer $5.30 / EA Murray s 4 oz. Superior Hair Dressing Pomade $3.30 / EA Goody Braided Elastic Pony Tail Holders (Black) (18 Ct.) C $1.20 / PK Softee 5 oz. African Crown Hair Dress $2.10 / EA 24872

2 Softee 5 oz. Coconut Oil Hair & Scalp Conditioner $2.00 / EA Tone 4.25 oz. Cocoa Butter Mango Splash Soap (1 Bar) $1.80 / EA Softee 5 oz. Hair Food $1.70 / EA Tone 4.25 oz. Cocoa Butter Soap (1 Bar) $1.95 / EA Body Wash Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash BODY WASH LIMIT 2 Elementz 15 oz. Deep Sea Minerals Invigorating Body Wash BODY WASH LIMIT 2 $2.25 / EA $1.90 / EA Zest 4 oz. Aqua Pure Soap (1 Bar) Zest 4 oz. Fresh Aloe Soap (1 Bar) Skin Care $1.60 / EA $1.70 / EA Elementz 15 oz. Sea Algae Extracts Relaxing Body Wash BODY WASH LIMIT 2 Old Spice 18 oz. 3-in-1 Hair and Body Wash BODY WASH LIMIT 2 Soap Ambi 3.5 oz. Complexion Cleansing Soap (1 Bar) Dial 3.2 oz. Basics Hypoallergenic Soap Dial 4 oz. Antibacterial Translucent Soap (1 Bar) C Dial 4 oz. Cranberry Antioxidant Bar Soap (3 Pk.) Dial 4 oz. Gold Soap (1 Bar) Dove 3.17 oz. Moisturizing Beauty Soap (1 Bar) Irish Spring 3.75 oz. Icy Blast Deodorant Soap (3 Bars) Lever oz. (1 Bar) Neutrogena 3.5 oz. Facial Bar Soap (1 Bar) $2.25 / EA $5.00 / EA $2.50 / EA $0.90 / EA $1.75 / EA $4.25 / PK $1.50 / EA $2.20 / EA $3.80 / PK $1.60 / EA $4.95 / EA Ambi 2 oz. Fade Skin Cream $9.00 / EA Chap-Et.16 oz. Lip Conditioner $1.25 / EA Chapstick Regular.15 oz. $2.65 / EA Cocoa Butter 12 oz. Lotion C Dial 12 oz. Advanced Therapy Lotion Heritage 4.5 oz. Skin Cream Facial Cleanse Infuzed Island Naturals 15 oz. Body Lotion Cocoa & Shea Butter Infuzed Island Naturals 15 oz. Shea Butter Lotion Jergens 10 oz. Original Scent Lotion $1.50 / EA $4.00 / EA $1.50 / EA $2.75 / EA $2.00 / EA $7.00 / EA NewDay 13 oz. Bath & Shower Powder $2.00 / EA Nivea 6.8 oz. Enriched Body Lotion $7.70 / EA Noxzema 2 oz. Original Cream $2.40 / EA Next 1-3 oz. Deodorant Soap Next 1-5 oz. Anti-bacterial Sport Soap (1 Bar) C Next 1-5 oz. Antibacterial Bar Soap (1 Bar) Next 1-5 oz. Cocoa Butter Soap (1 Bar) C Next 1-5 oz. Moisturizing Soap (1 Bar) C $0.50 / EA $0.80 / EA $0.90 / EA $0.80 / EA $0.90 / EA Olay 8.4 oz. Quench Body Lotion Palmers 8.5 oz. Cocoa Butter Lotion Personal Care 20 oz. Aloe Vera Lotion Personal Care 20 oz. Cocoa Butter Lotion Personal Care 20 oz. Vitamin E Hand & Body Lotion $7.70 / EA $5.50 / EA $1.50 / EA $1.50 / EA $1.00 / EA

3 Personal Care 7 oz. Foaming Alcohol Free Hand Sanitizer $2.00 / EA Speed Stick 3 oz. Ultimate Sport A/P Deodorant $4.00 / EA Rikayah 8 oz. Scented Lotion - Similar to CK One St Ives 10 oz. Collagen Elastin Lotion Suave 10 oz. Advanced Therapy Lotion Suave 10 oz. Cocoa Butter with Shea Lotion $2.60 / EA $10.00 / EA $3.45 / EA $3.45 / EA Dental Care Aim 16 oz. Mouthwash MOUTHWASH LIMIT 2 Aquafresh 5.6 oz. Sensitive Toothpaste Arm & Hammer 4.3 oz. Truly Radiant Rejuvenating Whitening Toothpaste $2.50 / EA $5.50 / EA $7.00 / EA Tone 12 oz. Cocoa Butter Lotion $4.00 / EA Close-Up 16 oz. Cinnamon Mouthwash MOUTHWASH LIMIT 2 $2.50 / EA Vaseline 10 oz. Moisture Lotion $6.50 / EA Close-Up 4 oz. Regular Gel Toothpaste $1.60 / EA Woltra 1 oz. Cocoa Butter Stick $1.65 / EA Colgate 4.2 oz. Anti-Cavity Toothpaste $3.00 / EA Deodorant Degree 1.6 oz. Shower Clean Antiperspirant Degree 1.7 oz. Ultra Dry Invisible Solid Deodorant Freshscent 1.6 oz. Stick Deodorant Lady Speed Stick 2.3 oz. Shower Fresh Clear Gel Lady Speed Stick Powder Fresh 2.3 oz. 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 2 oz. A/P Deodorant - Bloom C Power-Up 3 oz. Force Clear Roll On A/P Deodorant Speed Stick 2.7 oz. Stain Guard Fresh Anti-Perspirant/Deodorant $3.75 / EA $3.50 / EA $0.70 / EA $4.00 / EA $4.00 / EA $2.45 / EA $2.40 / EA $1.75 / EA $2.40 / EA $1.75 / EA $4.50 / 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 Crest 4.6 oz. Baking Soda & Peroxide Whitening Toothpaste Crest 4.8 oz. 3D Artic Fresh Whitening Toothpaste Crest 4.8 oz. 3D Radiant Mint Whitening Toothpaste $2.60 / EA $7.00 / EA $4.00 / EA $0.50 / EA $2.20 / EA $1.50 / EA $4.00 / EA $7.50 / EA $7.50 / EA Dental Floss Pick & Gum Stimulator C $1.50 / PK Freshmint 4.3 oz. Sensitive Toothpaste $1.75 / EA NWI Toothbrush Holder - Clear $0.60 / EA Speed Stick 2 oz. Active Fresh Deodorant $3.00 / EA Tek Firm Straight Toothbrush C $0.80 / EA 20482

4 Tek Medium Straight Toothbrush C Tek Soft Straight Toothbrush C Ultra Brite 6 oz. Advanced Whitening Toothpaste Shaving Products Bic Single Blade Disposable Razor (6 Pk.) C RAZORS LIMIT 1 $0.60 / EA $0.80 / EA $2.10 / EA $3.40 / PK Wet n Wild Megaslicks - Crystal Clear $2.50 / EA Wet n Wild Rose Champagne Blush $3.50 / EA Wet n Wild Sweet Glaze Megaslicks Lip Gloss $2.50 / EA Wet n Wild Twin Eyebrow Pencil - Black $2.50 / EA CLOTHING & ACCESSORIES Gillette Series 2.54 oz. After Shave Lotion Sensitive Skin $4.40 / EA Sweats Personal Care 5.9 oz. Shave Gel Sensitive Skin $1.50 / EA Jerzee Sweatpants - White Small, Medium, Large SWEATPANTS LIMIT 2 $12.50 / EA Pharmaceuticals Jerzee Sweatpants - White XL, 2XL, 3XL SWEATPANTS LIMIT 2 $13.50 / EA Goodsense 2 oz. Hemorrhoidal Ointment OTC LIMIT 2 $5.25 / EA Russell Sweatshirt - White Small, Medium, Large SWEATSHIRTS LIMIT 2 $10.50 / EA GoodSense 4 oz. SPF 30 Sunscreen Lotion $3.95 / EA Russell Sweatshirt - White XL, 2XL, 3XL, 4XL SWEATSHIRTS LIMIT 2 $11.50 / EA Goodsense 4 oz. Tussin Cough Syrup OTC LIMIT 2 $3.00 / EA GoodSense Sugar Free Cherry Cough Drops (25 Ct.) C R $2.25 / EA T-Shirts Andrew Scott Select Crewneck T-Shirt - White (1 Pk.) Small, Medium, Large, XL $2.25 / EA Halls Sugar Free Assorted Mint Cough Drops (25 Ct.) $3.80 / EA Andrew Scott Select Crewneck T-Shirt - White (1 Pk.) 2XL, 3XL $2.45 / EA Halls Sugar Free Honey Lemon Cough Drops (25 Ct.) $3.50 / EA Heritage 3 oz. Medicated Anti-Fungal Powder $1.45 / EA Naproxen 220 mg - 50 Tablets OTC LIMIT 2 $5.95 / EA NewDay Cotton Swabs (100 Ct.) C R $0.80 / EA Fruit of the Loom T-Shirt - No Pocket - White Small, Medium, Large, XL Fruit of the Loom T-Shirt - No Pocket - White 2XL, 3XL Hanes Crew Neck T-Shirt (1 Pk.) White Small, Medium, Large, XL $3.80 / EA $7.50 / EA $5.00 / EA Rolaids Regular Strength Antacid (1 Roll) $1.50 / EA Hanes Crew Neck T-Shirt (1 Pk.) White 2XL, 3XL $6.50 / EA Cosmetics Wet n Wild Eyeshadow Trio - Sweet As Candy $2.50 / EA Wet N Wild Fantastic Plastic Pink Blush $3.50 / EA Wet n Wild Mega Protein Mascara C137 - Very Black $2.50 / EA Pro Club Heavyweight Crew T-Shirt - White Small, Medium, Large, XL Pro Club Heavyweight Crew T-Shirt - White 2XL, 3XL, 4XL Pro Club Heavyweight Long Sleeve Crew T-Shirt - White Small, Medium, Large, XL $7.00 / EA $11.00 / EA $7.00 / EA

5 Pro Club Heavyweight Long Sleeve Crew T-Shirt - White 2XL, 3XL, 4XL, 5XL Russell Athletic T-Shirt Long Sleeve - White 4XL, 5XL, 6XL, 7XL Russell Athletic T-Shirt Long Sleeve - White Small, Medium, Large, XL, 2XL, 3XL Under Armour Charged Cotton Sport-Style T-Shirt - White/ Graphite Small, Medium, Large Under Armour Charged Cotton Sport-Style T-Shirt - White/ Graphite 2XL $12.50 / EA $9.55 / EA $10.30 / EA $24.00 / EA $25.00 / EA Hanes Her Way Cotton Briefs - White (3 Pk.) 6, 7, 8, 9, 10 Hanes Her Way Cotton Briefs - White (3 Pk.) 11, 12 Hanes Microfiber Seamless Women s Briefs - White (1 Pk.) 6/7, 8/9, 10/11 Hanes Seamless Microfiber Hi-cut Women s Briefs - White (1 Pk.) 6/7, 8/9, 10/11 Manhattan Hosiery Sports Bra - No-Wire (White) Small-32, Medium-34, Large-36, XL-38, 2XL-40, 3XL-42, 4XL-44/46, 5XL-48, 6XL-50 BRA LIMIT 6 $5.50 / PK $6.50 / PK $8.00 / EA $8.00 / EA $6.00 / EA Under Armour Charged Cotton Sport-Style T-Shirt - White/ Graphite 3XL $26.00 / EA Sara Max Ladies Briefs - White (1 Pk.) 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 $2.25 / EA Under Armour Core Crew Shirt - White Small, Medium, Large, XL Under Armour Core Crew Shirt - White 2XL Under Armour Core Crew Shirt - White 3XL Under Armour Tech Short Sleeve Compression Shirt (White) Small, Medium, Large, XL, 2XL, 3XL, 4XL, 5XL Shorts Cotton Gym Shorts - White Medium, Large, XL Cotton Gym Shorts - White 2XL, 3XL Russell 2-Panel Jersey Shorts - White Small, Medium, Large, XL, 2XL, 3XL $19.00 / EA $20.00 / EA $21.00 / EA $24.00 / EA $8.00 / EA $11.50 / EA $9.30 / EA Thermals Indera Mills Women s Thermal Drawers - White Small, Medium, Large, XL THERMAL PANTS LIMIT 2 Indera Mills Women s Thermal Drawers - White 2XL THERMAL PANTS LIMIT 2 Indera Mills Women s Thermal Drawers - White 3XL, 4XL, 5XL, 6XL THERMAL PANTS LIMIT 2 Indera Mills Women s Thermal Long Sleeve Shirt - White Small, Medium, Large, XL THERMAL SHIRTS LIMIT 2 Indera Mills Women s Thermal Long Sleeve Shirt - White 2XL THERMAL SHIRTS LIMIT 2 Indera Mills Women s Thermal Long Sleeve Shirt - White 3XL, 4XL, 5XL, 6XL THERMAL SHIRTS LIMIT 2 Pajamas $3.35 / EA $4.00 / EA $6.00 / EA $3.35 / EA $4.00 / EA $6.00 / EA Russell 9 Nylon Tricott Mesh Shorts - White Small, Medium, Large, XL, 2XL Russell 9 Nylon Tricott Mesh Shorts - White 4XL, 5XL, 6XL Under Armour Golazo Shorts - White Small, Medium, Large, XL, 2XL Women s Underwear Fruit of the Loom Hi-Cut Briefs - White (1 Pk.) 5, 6, 7, 8, 9, 10 $3.00 / EA $10.50 / EA $20.00 / EA $3.25 / EA Women s Long Sleeve Pajamas - White Medium, Large, XL PAJAMAS LIMIT 3 Women s Long Sleeve Pajamas - White 2XL, 3XL, 4XL, 5XL PAJAMAS LIMIT 3 Women s Short Sleeve Pajamas - White Small, Medium, Large, XL, 3XL PAJAMAS LIMIT 3 Hats $29.95 / EA $32.50 / EA $29.95 / EA Cotton Twill Baseball Cap - White $1.80 / EA

6 Flex Fit Hat - White Small/Medium, Medium/Large, Large/XL $4.75 / EA Pro Club Black Slide Sandals 7, 8, 9, 10, 11, 12, 13 $9.00 / EA Stocking Cap - White $1.50 / EA Under Armour Black/White W Ignite VIII Women Shower Shoe 6, 7, 8, 9, 10, 11, 12 $30.00 / EA Jewelry Silver Ball Earrings Small $15.20 / EA Watches Alex Navarre Quartz Watch - #JEMROLP Beverly Hills Polo Club Watch #52924 Casio Analog Style #MRW200H-1BVCF Watch Casio Digital Watch - Model #F-91W-1 $14.25 / EA $25.00 / EA $32.40 / EA $24.00 / EA V-Strap Thong Sandal Medium- #22600, Large- #22601 ELECTRONICS Radios Jensen JSR-1000 Clear AM/FM Radio w/headphones C RADIO LIMIT 1 Jensen Radio C RADIO LIMIT 1 Sony SRF-39 FP Clear AM/FM Radio C RADIO LIMIT 1 Earbuds $1.75 / EA $27.00 / EA $17.00 / EA $36.00 / EA Casio Women s Digital Watch $27.00 / EA JVC Gumy Plus White Earbuds $7.10 / EA Clear Watch C $7.75 / EA Koss CL-3 Clear Earbuds C $2.50 / EA Geneva Digital Watch w/light Clear $11.50 / EA Koss KE5K- 4 Earbuds $5.00 / EA Kenneth Cole Reaction Watch UL 1131 $30.00 / EA Koss Plug Earbuds $19.20 / EA Timex Ironman Watch T5K821 $34.50 / EA Skull Candy Smokin 2 Earbuds $16.00 / EA Accessories 4 Way Vinyl Poncho (Clear 50 x 80 ) $2.40 / EA Handkerchief (White) $0.65 / EA Skull Candy Inked Earbuds Sony MDR-E9LP Fashion Earbuds Headphones $12.30 / EA $7.25 / EA Leather Belt - Black 1-1/4 32, 34, 36, 38, 40, 42, 44, 46, 48, 50 $25.00 / EA Koss CL-2 Clear Headphones C $7.95 / EA Wave Enforcer Do-Rag (White) $2.60 / EA White Canvas Gloves $1.35 / EA SHOES Sandals Cross Strap Thong Sandal X-Large $1.75 / EA Koss CL-20 Headphones C Koss CL-5 Headphones C Koss KPH7 Headphones Koss KTX Pro 1 Headphones $22.50 / EA $6.50 / EA $5.25 / EA $26.50 / EA

7 Koss Replacement Pad for all Clear CL-10 $1.25 / EA Towel 24 x 48 White TOWELS & LINENS LIMIT 2 $5.50 / EA Koss Sporta Pro Headphones $39.00 / EA Washcloth 12 X 12 (White) WASHCLOTHS LIMIT 2 $0.50 / EA Sentry Clear Dura-Flex Xtream Headphones $15.00 / EA Washcloth 12 X 12 (White) WASHCLOTHS LIMIT 2 $0.85 / EA Skull Candy Anti Headphones Batteries Ion 3 AA Batteries (4 Pk.) BATTERIES LIMIT 4 Ion 3 AAA Batteries (4 Pk.) BATTERIES LIMIT 4 Calculators Datexx DH-122G Clear Calculator C CALCULATOR LIMIT 1 Datexx Scientific Calculator CALCULATOR LIMIT 1 THE GENERAL STORE Stationery $27.99 / EA $0.80 / PK $0.80 / PK $2.75 / EA $13.00 / EA Miscellaneous 1.6 Quart Round Serving Saver Bowl With Lid $1.00 / EA /8 Spoon (All Purpose Plastic) $0.10 / EA Acrylic Mirror w/magnet 6 x 4.5 $2.00 / EA Black Nylon Billfold $5.25 / EA Cereal Bowl w/lid 24 oz. $0.65 / EA Clear Cosmetic Bag (Hair Dryer Not Included) $3.75 / EA Coffee Cup w/handle 12 oz. $1.25 / EA #10 Envelope (50 Ct.) $1.50 / BX Hinged Soap Dish (Soap Not Included) C $0.75 / EA Address Book 5 x 7 $3.50 / EA Plastic Spork $0.10 / EA Address Book Small 2.5 x 4 $1.50 / EA Timberwolf Insulated Mug - Holds up to 14 oz. $3.15 / EA Bic Black Crystal Pen (1 Ct.) PENS LIMIT 3 Bic Blue Crystal Pen (1 Ct.) PENS LIMIT 3 Legal Pad 8.5 x 14 Yellow 50 Sheet Pad PAPER LIMIT 4 White Paper Pad 8.5 x 11 (50 Sheet Pad) PAPER LIMIT 4 Linens Bath Towel 24 x 50 (White) TOWELS & LINENS LIMIT 2 Hand Towel 16 X 27 White TOWELS & LINENS LIMIT 2 Mesh Laundry Bag 24 x 36 TOWELS & LINENS LIMIT 2 $0.30 / EA $0.30 / EA $1.35 / PAD $1.25 / PAD $6.00 / EA $2.20 / EA $3.00 / EA Two Piece Soap Dish C $0.60 / EA Ultraseal 5.5 Cups Clear Container C $1.50 / 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: Merchandise We cannot send

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: Merchandise 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. SELECT PAYMENT METHOD: Institutional Check Cashier s Check Money Order Make check or money order payable to ACCESS SECUREPAK VISA MasterCard Discover Prepaid x TAX See Chart Below = AMOUNT DUE: S PROGRAM DATES: Ordering Begins: July 31, 2017 Ordering Ends: August 30, 2017 Postmark date for mail orders: August 23, 2017 Orders must be received by: August 30, 2017 Delivery to facility: On or before September 20, 2017 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. Example: $ merchandise total x 1.07 (tax rate) = $ 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 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.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. Cardholder Name Cardholder Signature Daytime Phone Number / / Today s Date mm/dd/yyyy Facility City Tax Rate Facility City Tax Rate Alabama Therapeutic Education Facility Women Columbiana 8.00% Montgomery Women s Facility Montgomery 8.25% Birmingham Work Center Birmingham 10.00% Tutwiler Prison for Women Wetumpka 8.00% 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