Lock's Bar-B-Q Sauce Order Form

Questions? Call (888) 309-0637 or (773) 374-8489

Mail to:
E & V Blaylock, Inc.
P.O. Box 1973
Bridgeview, IL 60455

Fax to:
(773) 374-7763

Quantity: ______

3-Pack $11.95
____________

Quantity: ______

6-Pack $20.95
____________

Quantity: ______

12-Pack $35.95
____________

Quantity: ______

1-Gallon $12.95
____________

Sub Total:

____________

¹Add Shipping:

____________

Orders shipped to Illinois, add 2.0% sales tax:

____________

²Total:

____________


Please Print Legibly

Ship To Name:

______________________________________________

Mailing Address:

______________________________________________

City:

______________________________________________

State or Province:

______________________________________________

Postal Code:

________________ Country: _____________________

Card Number:

______________________________________________

Card Expiration:

Month __________________ Year _________________

³CVV Code:

_________

Cardholder Name:

______________________________________________

Cardholder Address:

______________________________________________

City:

______________________________________________

State or Province:

______________________________________________

Postal Code:

________________ Country: _____________________

Phone:

______________________________________________

Email Address:

______________________________________________

Special Instructions:

______________________________________________




¹Shipping Charges

48 contiguous US states

Shipped by FedEx
[ 3-Pack $5.95 | 6-Pack $7.95 | 12-Pack $11.95 | 1-Gallon $7.95 ]

Shipped by DHL
[ 3-Pack $7.95 | 6-Pack $9.95 | 12-Pack $13.95 | 1-Gallon $9.95 ]

All other, call (888) 309-0637 or (773) 374-8489

²This purchase will appear on your credit card statement under the name PayPal. We currently accept Visa, MasterCard, Discover, and American Express. We use Paypal to securely process all of our credit card transactions. You DO NOT need a PayPal account to use PayPal.

³For your safety and security, E & V Blaylock, Inc. requires that you enter your card verification number, if one is available. The verification number is a 3 or 4-digit number printed on your card.

If you are using a Visa, MasterCard, or Discover card, it is a 3 digit number that appears on the back of your card, to the right of your card number.

If you are using an American Express card, the verification number is a 4 digit number that appears on the front of your card, above and either on the left or right of the card number.

If your card does not have a verification number, try another card or enter the number 000.

Make Check and Money Order payable to E & V Blaylock, Inc.

Information provided is confidential and will be used only for the purpose of filling your order.