Order Form Mississippi DOC Holiday Ordering Dates: November 9 - December 9, 2020 Please Complete All Info on Reverse (Print Clearly)

Order Form Mississippi DOC Holiday Ordering Dates: November 9 - December 9, 2020 Please complete all info on reverse (print clearly).

TOTAL TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE

DRINKS Oatmeal Chips & Snacks

Coffee Ralston 13.8 oz. Maple & Brown Sugar Instant $3.90 / BX 6619 7 Days 3.17 oz. Roasted Garlic Bagel Chips K $1.55 / EA 80007192 Oatmeal (10 Pk.)

Folgers 4 oz. 100% Colombian Coffee K H C R $7.85 / EA 10961 Andy Capp’s .85 oz. Hot Fries $0.55 / EA 6743 Granola Bars

Keefe 3 oz. 100% Colombian Coffee K H C R V $5.25 / EA 7022 Nature Valley 1.49 oz. Oats ‘n Honey Granola Bar K $1.55 / EA 7167 Bugles 3 oz. Churros Cinnamon & Sugar Corn $3.15 / EA 80006953 Snacks

Drink Mixes Cereal Bars Cactus Annie’s 12 oz. Chili Cheese Corn $2.54 / EA 7629 Chips H C G Jolly Rancher .62 oz. Singles To Go Sugar Free $2.25 / BX 80000099 Green Apple (6 Pk.) Nutrigrain 1.3 oz Strawberry Cereal Bar $0.90 / EA 80008178

Cactus Annie’s 12 oz. Hot & Spicy Corn Chips K H C $2.55 / EA 7989 Jolly Rancher .66 oz. Singles To Go Sugar Free $2.25 / BX 80000100 Nutrigrain 1.3 oz. Blueberry Cereal Bar $0.90 / EA 80008179 Watermelon (6 Pk.) Chex Mix 1.75 oz Cheddar Party Mix $1.35 / EA 80007138 Toaster Pastries Starburst 0.59 oz. Zero Sugar Singles To Go Cherry $2.20 / BX 80007924 Drink Mix (6 Pk.) D Chex Mix 1.75 oz. - Bold Party Blend Mix K $1.25 / EA 1471 Toast’em Pop-Ups 11 oz. Blueberry Pastries (6 Pk.) $4.00 / BX 632

Sunny D 0.8 oz Sugar Free Singles To Go Orange $2.25 / BX 80006834 (6 Pk.) K Corn Nuts 1.4 oz. Barbecue Crunchy Corn Snack $1.00 / EA 40712 Toast’em Pop-Ups 11 oz. Strawberry Pastries (6 Pk.) $4.00 / BX 10928

Tang 6 oz. Breakfast Drink Mix K C $1.75 / EA 7040 Corn Nuts 1.4 oz. Chile Picante Con Limon Crunch $1.60 / EA 40713 Pastries & Snack Cakes Corn Snack

Wyler’s .89 oz. SF Singles To Go Cool Raspberry $2.20 / BX 10733 7 Days 2.65 oz. Strawberry Vanilla Croissant K $1.55 / EA 80007191 Drink Mix (8 Pk.) Doritos 7.5 oz. Spicy Sweet Chili Chips $2.95 / EA 80005365

Dolly Madison 2.7 oz. Golden Creme Cakes (2 Pk.) $1.45 / EA 80006321 FOOD & SNACKS Gardetto’s 2.5 oz Original Recipe Snack Mix $1.25 / EA 80006670

Cereal Dolly Madison 3.81 oz. Chocolate Zingers Snack $1.45 / EA 80006309 Cakes (3 Pk.) Keebler .952 oz. Gripz Chocolate Chip Grahams $0.60 / EA 80002334

Cap’n Crunch’s 3.9 oz. Crunch Berries Cereal Pouch $2.50 / EA 80007765 Dolly Madison 4 oz. Donut Crunch $1.45 / EA 80006308 Kellogg’s 1.3 oz. Original Rice Krispies Treats $1.25 / EA 2381

Kellogg’s 3.6 oz. Frosted Flakes Resealable Bag K $2.20 / EA 80006254 Duchess 4 oz. Cinnamon Roll $1.55 / EA 80005739 Kellogg’s 1.76 oz. Crunch Mania Cinnamon Bun $0.85 / EA 80002330

Golden Valley 4 oz. Plain Bagel K H C $0.85 / EA 80000495 Kings Nut 2 oz. Sweet & Salty Mix $0.65 / EA 80005496

Total Total Total

TOTAL TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE

Kings Nut 3.25 oz. Health Mix K H D $1.05 / EA 80003371 Gamesa 3.45 oz. Crackets Crackers $1.00 / EA 80007535 Chewy Lemonhead 4 oz. Fruit Mix Candy $1.40 / EA 80006102

Kings Nut 3.5 oz. Spicy Cajun Mix K H D $1.65 / EA 80003370 Keebler 5.25 oz. Original Club Crackers K $2.15 / EA 80000896 Corner Store 4 oz. Gummi Bears Candy $1.35 / EA 80005555

Lay’s 5.75 oz. Stax Original Potato Chips K $2.95 / EA 80003577 Nabisco 3.4 oz. Ritz Crackers - Convenience Pack $4.00 / EA 4486 Corner Store 4 oz. Sour Neon Worms Candy $1.35 / EA 80005556 K H

Moon Lodge 1.5 oz. Stuffed Jalapeno Potato Chips $1.30 / EA 7637 Jolly Rancher 3.7 oz. Assorted Flavors C $1.60 / EA 40601 K H Wheat Thins 1.75 oz. Crackers $1.00 / EA 9461

Russell Stover 1.125 oz. Mint Dream $1.55 / EA 6876 Moon Lodge 6 oz. Hot Hot Hot Onion Rings $2.45 / EA 80008516 Cookies

Bud’s Best 5.5 oz. Candy ‘n Cookies - Butterfinger $1.75 / EA 6386 Corner Store 5 oz. SF Wild Fruit Candy $2.75 / EA 9471 Ruffles 5.5 oz. Cheddar & Sour Cream Potato Chips $2.95 / EA 10525 Mini Cookies K

Sophie Mae 6 oz. Peanut Brittle $3.50 / EA 80006881 Snyder’s 2.25 oz. Jalapeno Pretzel Pieces K D $1.29 / EA 2299 Bud’s Best 9 oz. Holiday Iced Shortbread Cookies $1.75 / EA 80008513

Wonka 4.2 oz. Assorted Laffy Taffy $1.85 / EA 80001080 TGI Fridays 1 oz. Cheddar and Bacon Potato Skins $1.00 / EA 80003515 Checkers 8 oz. Oatmeal Cookies $2.00 / EA 80006066 Snacks K

Zachary 5 oz. Bridge Mix Chocolate Covered Nuts $2.90 / EA 7286 Classic Cookie 3 oz. Soft Baked Cinnabon Cookies $2.00 / EA 80006958 TGI Fridays 1 oz. Cheddar and Sour Cream Potato $1.00 / EA 80003514 with Cinnabon Cinnamon & Cream Cheese Chips Skins Snacks K Salad Dressing Famous Amos 2 oz. Chocolate Chip Cookies K $0.80 / EA 850 Nuts Kraft 1.5 oz. Ranch Salad Dressing Packet $0.75 / EA 4535

Kar’s 3.5 oz. Butter Toffee Peanuts K $1.55 / EA 80001220 Grandma’s 2.5 oz Big Oatmeal Raisin Cookies $1.05 / EA 80007134 Sauces

Kings Nut 3 oz. Roasted & Salted Peanuts $1.10 / EA 80003354 Grandma’s 2.5 oz. Soft Peanut Butter Cookies $1.05 / EA 7790 Sweet Baby Ray’s 1.5 oz. Original BBQ Sauce Pouch $1.00 / EA 10914 (1 pouch)

The Whole Shabang 1.75 oz. Peanuts K H C D $0.90 / EA 80002177 Pillsbury 3 oz. Soft Mini Chocolate Chip Cookies $2.35 / EA 80006666 Spices & Seasonings

Crackers Candy Colonna Brothers 2.5 oz. Garlic Powder $1.95 / EA 80007067

Austin Peanut Butter and Jelly Sandwich Crackers $4.40 / BX 80007340 Atkinson’s 3.75 oz. Sugar Free Chick-O-Stick K $2.80 / EA 9765 (8 Pk.) K Colonna Brothers 3 oz. Imitation Bacon Bits $1.95 / EA 80007065

Atkinson’s 3.75 oz. Sugar Free Crunchy Peanut $2.75 / EA 9764 Cheez-It 2 oz. White Cheddar Crackers $1.00 / EA 10706 Butter Bars K C

Total Total Total

TOTAL TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE

Dips Chicken of the Sea 5 oz. Light Tuna in Water K $4.25 / EA 10337

City Cow 4 oz. White Queso Dip C R G $1.99 / EA 6017 Rice Chicken of the Sea 5 oz. Mackerel Fillet in Soybean $3.50 / EA 80000051 Oil K D Minute Rice 2 oz. White Rice $1.05 / EA 80008370 Cheese Fresh Catch 3.53 oz. Chunk Light Tuna w/Jalapenos $2.95 / EA 80005516 K D Cactus Annie’s 2 oz. Jalapeno Cheese Squeeze $0.60 / EA 2585 Sevilla 2 oz. Yellow Rice $1.05 / EA 80008371 Snack G

Fresh Catch 4.23 oz. Chunk Light Tuna in Water $3.20 / EA 4317 K H D G Beans City Cow 4 oz. Mozzarella Cheese Stick C G $2.10 / EA 5645

Chata 15.2 oz. Refried Pinto Beans $2.55 / EA 80003853 Painted Cow 2 oz. Cream Cheese Pouch $0.75 / EA 80003625 Ready-To-Eat Meals

Brushy Creek 11.25 oz. Beef Stew D G $4.25 / EA 1715 Sevilla 4.4 oz. Chili Flavor Refried Beans & Rice K H $2.40 / EA 5939 Velveeta 4 oz. Nacho Cheese Dip w/Jalapenos $1.95 / EA 9398 Snack Spread Tub C R G Brushy Creek 11.25 oz. Chili with Beans Hot! G $3.90 / EA 1712 Sevilla 4 oz. Red Beans & Rice $1.35 / EA 80008372

Meat Snacks Brushy Creek 11.25 oz. Lasagna with Beef in Sauce $3.50 / EA 1721 Ramen Brushy Creek 5 oz. Beef Salami Stick D G $3.75 / EA 80001739 Maruchan 3 oz. Cajun Chicken Flavor Ramen C $0.90 / EA 18 Brushy Creek 5 oz. Chicken Vienna Sausage D $2.50 / EA 80002944 Brushy Creek 5 oz. Hot Beef Summer Sausage D G $3.75 / EA 80001721 Maruchan 3 oz. Texas Beef Flavor Ramen C $0.90 / EA 13 Brushy Creek 8 oz. Cajun Style Rice with Chicken $3.60 / EA 80003084 & Sausage Brushy Creek 5 oz. Original Beef Summer Sau- $3.75 / EA 80001719 sage D G Noodles

Hormel 2.5 oz. Spam Single D $2.75 / EA 80001495 O’Brien’s 1.125 oz. Hot & Spicy Sausage G $1.35 / EA 2229 Knorr 4.1 oz. Pasta Sides Cheesy Spinach Dip $3.50 / EA 80001123 Fettuccini

Rip ‘N’ Ready 10 oz. Roast Beef in Gravy $5.50 / EA 80007676 Tomer .5 oz Original Beef Stick $1.15 / EA 80008126 Knorr 4.3 oz. Pasta Sides Chicken Flavored $3.50 / EA 7123

Rip ‘N’ Ready 6 oz. Shredded Beef Brisket w/Broth $5.90 / EA 80004163 & Smoke Flavoring Seafood Mama 2.1 oz. Pork Flavour Noodles $0.90 / EA 10098

Chicken of the Sea 3.53 oz. Mackerel Fillet in $2.95 / EA 10114 Rip ‘N’ Ready 6 oz. Shredded Beef Brisket with $5.65 / EA 80004162 Soybean Oil K BBQ Sauce

Chicken of the Sea 3.53 oz. Sardines in Louisiana $2.95 / EA 10358 Vegetables Hot Sauce K

Idahoan 2 oz. Instant Mashed Potatoes $1.30 / EA 80000147

Total Total Total

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Order Form Mississippi DOC Holiday Ordering Dates: November 9 - December 9, 2020 Please complete all info (print clearly). PROGRAM DATES: ELIGIBILITY: Access Securepak verifies inmate eligibility before We cannot send orders from one inmate to another. SHIP TO: Ordering Begins: November 9, 2020 shipping packages, if applicable. Ordering Ends: December 9, 2020 Inmate’s Name ID# Postmark date for mail orders: December 2, 2020 LIMITS: Maximum $100.00 of product per inmate. Multiple Orders must be received by: December 9, 2020 packages can be ordered not to exceed the maximum $100.00 of Institution/Dorm/Housing# Delivery to facility: Weekly deliveries product per program.

WAYS TO ORDER CATALOG CHANGES: Every effort has been made to show and Online: mississippipackages.com describe the merchandise as accurately as possible. Because Street Address Phone: 1-800-546-6283 many manufacturers change an item’s design, color, package size Mail: Access Securepak (MS) and style after our catalog is produced, we reserve the right to City State Zip 10880 Linpage Place discontinue or change product specifications without prior notice. SENDER: REQUIRED for order fulfillment. St. Louis, MO 63132 We regret any changes that might occur and will make every effort to minimize these occurrences. Inadvertent errors in product ACCEPTABLE FORMS OF PAYMENT: descriptions, pricing and special offers are not binding on Access Sender’s Name • Credit/Debit Cards—VISA, MasterCard, Discover Securepak, and we may make adjustments at any time. Additionally, • Prepaid cards that have a verifiable United States address many of our food items may contain common allergens such as Street Address • Cashier’s check milk, eggs, wheat and peanuts. Before consuming a food item,

City State Zip • Money order please consult the product packaging for specific information on its • Institutional check ingredients. Prices and offers are subject to change and available

Phone Number while supplies last. Always consult the mississippipackages.com We do not accept personal checks and will return them to the website for the latest updates on this package program. Email (You will receive confirmation emails when the order is placed and shipped.) sender. Credit/debit and prepaid cards will be charged on the day the order is placed. Refunds or credits will be applied to the card In the event of a back order, may we substitute like items of equal or CALCULATE AMOUNT DUE: used for the order (allow additional time for refunds/credits on greater value? Note: unless you choose “NO,” we may substitute for TAX TOTALS prepaid cards). Access Securepak reserves the right to remove one out-of-stock or restricted items. Merchandise Total: x 1.07 = or more items from the order due to insufficient payment. _YES _NO Processing Fee: $6.95 x 1.07 = $7.44 SALES TAX: Access Securepak is required by the state of CUSTOMER SERVICE: TOTAL AMOUNT DUE: Mississippi to charge 7% tax on all items mississippipackages.com Automated system is available 24 hours a day, seven days a week SELECT PAYMENT METHOD: Tax calculation example: 1-800-546-6283 ¨ Institutional Check ¨ Cashier’s Check ¨ Money Order $63.52 merchandise total + $6.95 processing fee = $70.47 subtotal Live bilingual representatives are available Monday through Friday, Make check or money order payable to ACCESS SECUREPAK $70.47 subtotal x 0.07 tax rate = $4.93 tax total 7:30 a.m.–11:00 p.m. CST, and Saturday, 10 a.m.–4 p.m. CST. ¨ VISA ¨ MasterCard ¨ Discover $70.47 subtotal + $4.93 tax = $75.40 total due

Cardholder Name

Cardholder Signature / / Daytime Phone Number Today’s Date mm/dd/yyyy

Credit Card Number

/ Security code is last three digits of account Expiration Date Security Code number panel.