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Blue Smoke Order Form |
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| To place order: Phone: 304-658-3800 or 1-888-SalsaWV By
Fax: fill out form and fax to: 304-658-3800 Blue
Smoke, Inc., |
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| Bill To: | Ship To: |
| Allow
two weeks for delivery |
|
| Quantity |
Item/Description |
Size
|
Heat
|
Price
Each |
Total
Price |
|
Blue Smoke Salsa |
16
oz. |
Mild |
$5.95 |
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| Blue Smoke Salsa | 16
oz. |
Medium |
$5.95 |
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| Blue Smoke Salsa | 16
oz. |
Hot |
$5.95 |
||
| Blue Smoke Salsa | 16
oz. |
X-
Hot |
$5.95 |
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| Blue Smoke Chef Sauce | 16
oz. |
Mild
Only
|
$5.95 |
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| Blue Smoke Pepper Jelly | 9
oz. |
Mild
|
$5.95 |
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| Blue Smoke Pepper Jelly | 9
oz. |
Hot
|
$5.95 |
||
| Holy Smoke Hot Sauce | 6
oz. |
X-
Hot Only |
$5.95 |
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| Blue Smoke Peach Salsa | 12
oz. |
Medium
Only |
$5.95 |
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| Blue Smokin' BBQ Sauce | 16
oz. |
Mild
Only |
$5.95 |
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| Blue Smoke "South of the Border" Salsa w/cilantro | 12
oz. |
"Mildly
Wild" |
$5.95 |
| MC or Visa |
Credit
card number: Exp. Date: |
Subtotal |
|
| Free
Shipping |
Free
with six or more jars call for shipping on smaller quantities |
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| *WV residents please add 6% sales tax. | Sales
tax (if applicable) |
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| Total
Cost |

Order placed
through WVGourmetFoods.com