First and Last Name of Person Placing order

Choose 1: either airport or door delivery:

Airport:  Enter 3 letter airport code and/or city, state along with name of person picking up.

OR:

Door delivery:  Enter delivery Name, Address, City, State and Zip code.  

Phone Numbers:

Email Address: 

NOTE - PLEASE READ:  We email confirmation of receipt of your order within at least 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

*Choose an option, 1, 2 or 3:

1.  Fill in shipping FedEx charges if 50 lbs. or under. Over 50 lbs., depending on your address we may be able to give you a better FedEx shipping rate under our FedEx account.

2.  or if using your FedEx/UPS account no. enter here.

Charge shipping to Federal Express or UPS Account no.

When using your FedEx account, charges will be according to the rate agreement that you have with FedEx and will not be the charges

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.  (If this is an add-on to an original order, please say so in the comments.

NOTE: CANCELLATION or CHANGES of any order must be made in writing the day before shipping

with receipt of your message confirmed by us.

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

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.