Name: 	Phone:	
Street:	Email:	
City:	State & Zip code:	
Ship to the same address?  If not, please enter the shipping address here: 
	
Item	Size	Quantity	Price (Each)	Total	
Blackberry Habanero Jam (Medium Heat)	10.5 oz.		$11.00		
Blackberry Habanero Jam (Medium Heat)	5 oz.		$6.00		
Mango Habanero Jam (Medium Heat)	10.5 oz.		$11.00		
Mango Habanero Jam (Medium)	5 oz.		$6.00		
Peach Habanero Jam (Medium Heat)	10.5 oz.		$11.00		
Peach Habanero Jam (Medium Heat)	5 oz.		$6.00		
Raspberry Habanero Jam (Medium Heat)	10.5 oz.		$11.00		
Raspberry Habanero Jam (Medium Heat)	5 oz.		$6.00		
                                                                                                                  SUBTOTAL		
Shipping & Handling			
1 – 5 jars = $6.50			
6 – 10 jars = $10.00			
11 – 24 jars = $14.00			
10% Discount*		
TOTAL DUE		
10% discount for orders of 24 or more*
For your convenience we offer several ways for you to place your order. You may order online or we are happy to receive your order via phone, fax, email or mail using this convenient writable and printable order form which you can print out straight from your browser. Please send your check or money order to the address below.
We ship by USPS and UPS in the continental USA. We ship parcel post to Alaska and Hawaii. 
In case we are temporarily out of something you have ordered, we will notify you of the expected ship date and ship it to you as soon as we can. We will not hold your order over 30 days without your approval. 
www.dianessweetheat.com
Diane Hunt
2256 Cochran Road, McKinleyville, CA 95524
Ph: 707-839-2919  FAX: 707-839-5960
Email: dianessweetheat@yahoo.com

Thank You for Your Order!