Kyle LeBlanc Crawfish Farms

302 St. Peter St. Raceland, LA 70394

Phone: 985-226-6444 Fax: 985-537-4658 

 

 

SECURE ONLINE ORDER FORM

(HIT TAB KEY TO GO TO THE NEXT FIELD; HITTING "ENTER" KEY WILL SUBMIT THE FORM)



WE HAVE LIMITED SUPPLY AT THIS TIME OF YEAR, SO PLEASE TRY TO PLACE YOUR ORDER
AT LEAST A WEEK AHEAD OF TIME

 

First and Last Name of Person Placing order

 

For Door delivery, first and last name of person to be delivered to.  

For Airport delivery, first and last name of person picking up at airport.

 

For Door delivery, enter delivery address, city, state and zip code.  

For Airport delivery, enter 3 letter airport code and city, state of airport.

 

Phone Numbers:

 

Email Address: 

NOTE - PLEASE READ:  We email confirmation of receipt of your order within 24 hours.  Weekend orders will receive confirmation on Monday.

If no confirmation received, call 985-226-4942.

 

Date to Receive Products: 

 

(If more lines are needed for your order, you can write them in comments below, or send an email to kyle@crawdads.net with additional information).

                                                            ORDER

 

QUANTITY

PRODUCT DESCRIPTION

PRICE PER LB.TOTAL AMOUNT


*Shipping Charges:


TOTAL 

*Do not fill in shipping charges if you want them charged to your Fedex or UPS account, or if

you are shipping  to airport (you will pay airport shipping charges upon pickup directly to the

airline). Use chart (click here) for shipping charges. 

 

Charge shipping to Federal Express Account no.

 

Charge shipping to UPS Account no.     Zip code associated with UPS Account No. (This MUST be filled in ONLY if using your UPS Account No.)

 

WE ARE NOT RESPONSIBLE FOR ANY SERVICE FAILURE LOSS BY ANY SHIPPING COMPANY


 

PAYMENT INFORMATION

 

Name exactly as appears on credit card

 

Phone number associated with credit card

 

Billing Address

 

Billing City, State & Zip Code

 

 

MasterCard       VISA     Discover American Express

 

Card Number

 

Expiration Date

 

Security Code

What is the security code? (see below)

MasterCard/Visa/Discover security code is the last 3 numbers on the reverse of your card.

American Express security code is the 4 small numbers printed just above your account no.

on the front of the card.

 

Comments, if any.  

 

 

Once you press the submit button, you will see a summary of your order listed; please print this out for your record. 

 

Check this box if you wish to receive email updates on prices throughout the year.  We don't email every time there is a price change, but we do keep you informed mostly in Spring and Summer.