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

*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.

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.

By clicking the "SUBMIT" button, cardholder named above agrees to pay all shipping charges associated with this order as stated in this order , whether the shipping is charged to your Fedex/UPS/Airline account, charged by us or charged by the airline upon pick up. Cardholder also agrees to pay any and all unpaid, reversed or returned charges with the credit card number provided on this order form.