Kyle LeBlanc Crawfish Farms Order Form

Kyle LeBlanc Crawfish Farms
302 St. Peter St. · Raceland, LA 70394
Phone: 985-226-6444 · Fax: 985-537-4658

First Name

Last Name

Choose Delivery Option

Airport Delivery Door Delivery

Phone Numbers

Email Address

NOTE: We email confirmation of receipt within 24 hours. Weekend orders confirmed on Monday. If no confirmation received, call 985-226-4942.

Date to Receive Products

Order Details

Quantity	Product Description	Price per LB	Total Amount	Action

Shipping Charges

Total

Shipping Option

Use our FedEx charges (50 lbs or under)
Use your FedEx/UPS account
Airport shipping (Party packs included)

We suggest using our FedEx account for an 80% discount. We are not responsible for any shipping company service failures.

Name on Credit Card

Phone Number Associated with Credit Card

Billing Address

Billing City

Billing State

Billing Zip Code

Card Type

Card Number

Expiration Date

Security Code

MasterCard/Visa/Discover: Last 3 numbers on the back of your card.
American Express: 4 small numbers above your account number on the front.

Comments

If this is an add-on to an original order, please specify. For additional order lines, include here or email kyle@crawdads.net.

NOTE: Cancellations or changes must be made in writing the day before shipping, with confirmation from us. After submitting, a summary will appear; please print it for your records.

Kyle LeBlanc Crawfish Farms Order Form

Kyle LeBlanc Crawfish Farms 302 St. Peter St. · Raceland, LA 70394 Phone: 985-226-6444 · Fax: 985-537-4658

Kyle LeBlanc Crawfish Farms
302 St. Peter St. · Raceland, LA 70394
Phone: 985-226-6444 · Fax: 985-537-4658