Blue Smoke Salsa

Blue Smoke Order Form

To place order:

Phone: 304-658-3800 or 1-888-SalsaWV

By Fax: fill out form and fax to: 304-658-3800

By Phone: 1-888-SalsaWV (1-888-725-7298)

By Mail: mail this form with your check or money order payable to:

Blue Smoke, Inc.,
119 East Main Street
Ansted, WV 25812-0244

Email your order to: orders@bluesmokesalsa.com


print form
   
Bill To: Ship To:
   
   
   
Quantity
Item/Description
Size
Heat
Price Each
Total Price
 
Blue Smoke Salsa
16 oz.
Mild
$5.95
  
  Blue Smoke Salsa
16 oz.
Medium
$5.95
  
  Blue Smoke Salsa
16 oz.
Hot
$5.95
  
  Blue Smoke Salsa
16 oz.
X- Hot
$5.95
  
  Blue Smoke Salsa
16 oz.
XXX-Hot
$5.95
  
  Blue Smoke Pepper Jelly
9 oz.
Mild
$5.95
  
  Blue Smoke Pepper Jelly
9 oz.
Hot
$5.95
  
  Blue Smoke Peach Salsa
12 oz.
Medium Only
$5.95
  
  Bluegrass Raspberry BBQ Sauce
12 oz.
Mild Only
$5.95
  
  Blue Smoke "South of the Border" Salsa w/cilantro
12 oz.
"Mildly Wild"
$5.95
  

MC or Visa
Credit card number:

Exp. Date:

Subtotal

  
*see shipping chart for price
  *WV residents please add 6% sales tax.
Sales tax (if applicable)
  
Total Cost
  
Cart Total Shipping
0-$25 $7.95
$25.01 - $35 $8.95
$35.01 - 45 $9.95
$45.01 - $60 $11.95
$60.01 - $75 $13.95
$75.01 - $100 $15.95
$100.01 - $150 $18.95
$150.01 - $200 $22.95
$200.01 + $26.95


Order placed through WVGourmetFoods.com