Order Form Salem RSAT Effective August 2020 Please Complete All Info on Reverse (Print Clearly)

Order Form Salem RSAT Effective August 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 Starburst 0.48 oz. Zero Sugar Singles To Go Blue $2.45 / BX 80007923 7 Days 2.65 oz. Strawberry Vanilla Croissant K $1.25 / EA 80007191 Raspberry Drink Mix 6 Pk. D Coffee Chattanooga 2.75 oz. Banana Double Decker Moon $0.70 / EA 80005730 Starburst 0.59 oz. Zero Sugar Singles To Go Cherry $2.45 / BX 80007924 Pie C Folgers 4 oz. 100% Colombian Coffee K H C R $4.85 / EA 10961 Drink Mix (6 Pk.) D

Chattanooga 2.75 oz. Chocolate Double Decker $0.70 / EA 80005732 Keefe 3 oz. Alturo Blend Coffee K H C D R $2.95 / EA 10243 Tang 12 oz. Instant Orange Drink Mix K H C R $2.35 / EA 7032 Moon Pie C

Keefe 3 oz. Colombian Blend Premium Coffee $2.95 / EA 10244 Wyler’s Light .80 oz. SF Singles To Go Strawberry $2.45 / BX 80001731 Chattanooga 2.75 oz. Strawberry Double Decker $0.70 / EA 80005729 K H R V Lemonade Drink Mix (8 Pk.) Moon Pie C

Maxwell House 4 oz. Dark Roast Espresso K H C R $4.25 / EA 10704 FOOD & SNACKS Dolly Madison 16.2 oz. Golden Creme Cakes (6 Pk.) $5.50 / BX 80006321

Breakfast Tea Dolly Madison 3.81 oz. Chocolate Zingers Snack $5.50 / BX 80006309 Cakes (3 Pk.) OvaEasy 0.86 oz. Egg in a Cup Sea Salt & Pepper $3.75 / EA 80007714 Lipton 1.1 oz. Green Tea Lemon Ginseng (20 Ct.) K $3.95 / BX 6627 Market Square Bakery 4.75 oz. Mega Honey Bun C $0.80 / EA 6044 OvaEasy 0.99 oz. Egg in a Cup Sausage Seasoning $3.75 / EA 80007713 Creamer Market Square Bakery 4 oz. Cinnamon Crumb $0.80 / EA 3210 Paramount 6.75 oz. French Vanilla Non-Dairy $1.45 / EA 10596 Cereal Cakes (2 Pk.) K Creamer K H Golden Valley Cereal 20 oz. Berries Bunch O’Krunch $4.30 / EA 10362 K R Chips & Snacks Paramount 8 oz. Non-Dairy Creamer K H C R $2.05 / EA 26 Cactus Annie’s 11 oz. “The Whole Enchilada” Party $2.15 / EA 902 Golden Valley Cereal 20 oz. Frosted Flakes K R $4.30 / EA 10361 Mix H C D Drink Mixes

Country Time 12 oz. Lem’n Berry Sippers Drink $2.35 / EA 71536 Golden Valley Cereal 20 oz. Raisin Bran K R $4.30 / EA 10359 Cactus Annie’s 12 oz. Hot & Spicy Corn Chips K H C $1.90 / EA 7989 Mix K H C R

Toaster Pastries Cheetos 8 oz. Flamin’ Hot Crunchy C G $2.15 / EA 7687 Gatorade 7.5 oz. Fruit Punch Drink Mix Resealable $1.90 / EA 7979 Pouch H R Kellogg’s 13.5 oz Cookie & Creme Pop Tarts (8 Pk.) $3.00 / BX 80008124 Cheetos 9 oz. Crunchy C G $2.15 / EA 7683

Kool-Aid 12 oz. Cherry Drink Mix K H C R $2.35 / EA 7034 Kellogg’s 13.5 oz. Chocolate Chip Pop Tarts (8 Pk.) $3.00 / BX 80008122 Doritos 8 oz. Nacho Cheese Chips C $2.15 / EA 10514

Kool-Aid 12 oz. Tropical Punch Drink Mix K H C R $2.35 / EA 7033 Toast’em Pop-Ups 11 oz. Blueberry Pastries (6 Pk.) $1.90 / BX 632 Fritos 10.5 oz. Chili Cheese Corn Chips C $5.20 / EA 10355

Kool-Aid 12 oz. Watermelon-Strawberry Drink Mix $2.35 / EA 9713 K H C R Pastries & Snack Cakes Kellogg’s 5 oz Rice Krispies Treats Poppers Choco- $3.50 / EA 80006989 latey Resealable Pouch 7 Days 2.65 oz. Soft Croissant with Dulce de Leche $1.25 / EA 80007190 Starburst 0.43 oz. Zero Sugar Singles To Go All Pink $2.45 / BX 80007922 Caramel Filling Strawberry Drink Mix 6 Pk. D Lay’s 5.5 oz. Sour Cream & Onion Stax Potato $3.00 / EA 80003228 Chips K

Total Total Total

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Order Form Salem RSAT Effective August 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

Moon Lodge 11 oz. Pretzels Mini Twists K C D $1.80 / EA 5139 Nabisco 13 oz. Chips Ahoy! Chocolate Chip Cookies $5.50 / EA 4594 Spices & Seasonings K H Colonna Brothers 1.23 oz. Italian Seasoning $1.50 / EA 80007077 Moon Lodge 6 oz. Stuffed Jalapeno Potato Chips $1.40 / EA 5110 K H Nabisco 14.3 oz. Oreo Cookies K H $6.60 / EA 4592 Colonna Brothers 2.5 oz. Garlic Powder $2.00 / EA 80007067 Planters 2 oz. Tropical Fruit & Nut Trail Mix $0.90 / EA 80001255 Candy Colonna Brothers 2.62 oz. Onion Powder $1.50 / EA 80007066 Atomic 3 oz. Fireball $0.75 / EA 80006095 Ruffles 5.5 oz. Cheddar & Sour Cream Potato Chips $2.15 / EA 10525 Colonna Brothers 3 oz. Imitation Bacon Bits $1.85 / EA 80007065 Chewy Lemonhead 4 oz. Fruit Mix Candy $1.50 / EA 80006102 The Whole Shabang 6 oz. Original Potato Chips K H $1.40 / EA 5114 Mrs. Dash 2.5 oz. Original Blend K C G S $3.70 / EA 1613 Hershey’s 5.3 oz. Miniatures Bag K $4.00 / EA 865 The Whole Shabang 9.5 oz. Extreme Crunchies K H $1.90 / EA 80001670 Cheese Jolly Rancher 3.6 oz. Sugar Free Hard Candy K H D $4.25 / EA 6866 Popcorn City Cow 8 oz. Super HOT! Habanero Cheese Snack $1.70 / EA 2855 Spread C R G Fiddle Faddle 6 oz. Caramel Popcorn w/Peanuts K $1.60 / EA 6606 M&M’s 10.7 oz. Peanut Medium Bag $5.90 / EA 80004622

Gilman 3.5 oz. Shredded Cheddar Cheese C $1.50 / EA 80007372 Nuts M&M’S 3.8 oz Milk Chocolate Bar with Minis & $3.50 / EA 80007267 Crisp Rice Moon Lodge 1.75 oz. Hot, Hot, Hot! Peanuts K C D G $0.75 / EA 7551 Gilman 3.5 oz. Shredded Cheese Mozzarella C $1.50 / EA 80007371 M&M’S 3.9 oz Milk Chocolate Bar with Minis & $3.50 / EA 80007268 Almonds Moon Lodge 1.75 oz. Salted Peanuts K C G $0.75 / EA 7550 Meat Snacks

Oinks 0.5 oz. Jalape√±o Seasoned Chocolate $2.75 / EA 80007707 Brushy Creek 11 oz. Hot Beef Summer Sausage G $5.45 / EA 80001726 Crackers Covered Bacon

Cheez-It 12.4 oz Extra Toasty Snack Crackers $5.75 / EA 80007665 Brushy Creek 11 oz. Orginal Beef Summer $5.45 / EA 80001725 Oinks 0.6 oz. Applewood Smoked Chocolate $2.75 / EA 80007706 Sausage G Covered Bacon

Cheez-It 12.4 oz Queso Fundido Crackers $5.75 / EA 80007666 Brushy Creek 5 oz. Turkey Summer Sausage Honey $2.25 / EA 80001724 Russell Stover 1.125 oz. Mint Dream $1.15 / EA 6876 Brown Sugar D G Cookies Sathers 3.25 oz. Jawbreakers C $0.75 / EA 40610 Jack Link’s 1.2 oz. Sizzled Beef & Jalapeno Cheese $1.50 / EA 2781 Bud’s Best 5.5 oz. Candy ‘n Cookies - Butterfinger $1.75 / EA 6386 Sticks Mini Cookies K Sathers 3 oz. Vanilla Caramels C $0.75 / EA 40629 Jack Link’s 1 oz. Wild Snack Stick $1.50 / EA 80003260 Bud’s Best 7.5 oz. Bite Size Chocolate Chip Cookies $1.75 / EA 9824 Condiments Seafood Nabisco 13 oz. Chips Ahoy! Chewy Chocolate Chip $5.50 / EA 4488 Cookies K A-1 .5 oz. Steak Sauce (1 ea.) K $0.30 / EA 5837 Fresh Catch 3.53 oz. Chunk Light Tuna w/Jalapenos $1.70 / EA 80005516 K D Kraft 1.5 oz. Ranch Salad Dressing Packet $0.45 / EA 4535

Total Total Total

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

Fresh Catch 3.53 oz. Fish Steaks in Spicy Mustard $1.70 / EA 4394 HEALTH & BEAUTY Deodorant Sauce H D G Ethnic Hair Care Power-Up 2.5 oz. Clear A/P Deodorant - Force C $2.45 / EA 22337 StarKist 2.6 oz. Salmon Creations Lemon Dill Pouch $3.75 / EA 80007723 Murray’s 4 oz. Superior Hair Dressing Pomade $2.90 / EA 20377 Speed Stick 3 oz. Ultimate Sport A/P Deodorant $4.05 / EA 20068 StarKist 2.6 oz. Salmon Creations Mango Chipotle $3.75 / EA 80007291 Pouch Shampoo & Conditioner Dental Care Pert Plus 13.5 oz. 2 in 1 Shampoo with Conditioner $5.30 / EA 22993 Starkist 2.6 oz. Tuna Creations Bold Hot Buffalo $2.95 / EA 80005893 Colgate 3.3 oz. Clean Mint Toothpaste $4.70 / EA 80007503 Style

Suave 12.6 oz. 2 in 1 Anti Dandruff Classic Clean $4.80 / EA 80002089 Shampoo Colgate 4.6 oz. 2-in-1 Icy Blast Toothpaste C $4.60 / EA 21748 StarKist 2.6 oz. Tuna Creations Honey BBQ $2.95 / EA 80006951

Suave 15 oz. Waterfall Mist Conditioner $2.25 / EA 80007178 Colgate Classic Soft Toothbrush $1.25 / EA 80002159 Ready-To-Eat Meals

Brushy Creek 11.25 oz. Chili with Beans D G $1.80 / EA 1711 VO5 12.5 oz. Strawberries & Cream Shampoo $2.10 / EA 80000153 Colgate Full Head Medium Toothbrush $1.10 / EA 80002160

Rip ‘N’ Ready 10 oz. Roast Beef in Gravy $3.50 / EA 80007676 Soap Shaving Products

Dial 3.5 oz. Antibacterial Soap (1 bar) $1.05 / EA 20920 Bic Twin Blade Disp. Razor (1 Ct.) $0.25 / EA 20202 Rip ‘N’ Ready 12 oz. Roast Beef in Gravy $4.50 / EA 2364

Tone 4.25 oz. Cocoa Butter Soap (1 bar) $1.55 / EA 22744 Braun M-60B Twist Pocket Shaver $33.30 / EA 5141701099 Ramen

Maruchan 3 oz. Chicken Flavor Ramen C $0.70 / EA 8 Skin Care Conair Clear Trimmer Model #100A $13.60 / EA 5157801099

Blistex .15 oz. SPF Medicated Lip Balm $2.00 / EA 80008058 Maruchan Instant Lunch 2.25 oz. - California Veggie $0.70 / EA 4 Pro-Tection 7 oz. After-Shave Gel C $2.25 / EA 22318

Dial 12 oz. Advanced Therapy Hand & Body Lotion $4.10 / EA 26045 Maruchan Instant Lunch 2.25 oz. - Hot & Spicy Beef $0.70 / EA 16 Pharmaceuticals

GoodSense .15 oz. Tropical SPF 45 Lip Balm $1.10 / EA 80008056 GoodSense Cherry Cough Drops (30 Ct.) C R $1.40 / EA 20545 Maruchan Instant Lunch 2.25 oz. - Lime, Chili, $0.70 / EA 1346 Shrimp w/Habanero

NewDay 13 oz. Bath & Shower Powder $1.65 / EA 22377 Halls Cherry Flavored Cough Drops (9 Ct.) $1.40 / EA 20244 Noodles

Noxzema 2 oz. Original Cream $2.55 / EA 24537 Knorr 4.3 oz. Pasta Sides Chicken Flavored $2.30 / EA 7123

Suave 10 oz. Advanced Therapy Lotion $3.60 / EA 21926 Knorr 4.4 oz. Pasta Sides Alfredo Noodles $2.30 / EA 7121

Suave 10 oz. Cocoa Butter with Shea Lotion $3.60 / EA 21924

Total Total Total

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Order Form Salem RSAT Effective August 2020 Please complete all info (print clearly). WAYS TO ORDER: CATALOG CHANGES: Every effort has been made to show and describe the SHIP TO: We cannot send orders from one inmate to another. Online: westvirginiapackages.com merchandise as accurately as possible. Because many manufacturers change Phone: 1-800-546-6283 an item’s design, color, package size and style after our catalog is produced, Mail: Access Securepak (WV) we reserve the right to discontinue or change product specifications Inmate’s Name ID# 10880 Linpage Pl without prior notice. We regret any changes that might occur and will make St. Louis, MO 63132 every effort to minimize these occurrences. Inadvertent errors in product descriptions, pricing and special offers are not binding on Access Securepak, Institution/Dorm/Housing# ACCEPTABLE FORMS OF PAYMENT: and we may make adjustments at any time. Additionally, many of our food • Credit/Debit Cards—VISA, MasterCard, Discover items may contain common allergens such as milk, eggs, wheat and peanuts. • Prepaid cards that have a verifiable United States address Before consuming a food item, please consult the product packaging for • Cashier’s check specific information on its ingredients. Prices and offers are subject to change • Institutional Check and available while supplies last. Always consult the westvirginiapackages.com Street Address • Money order website for the latest updates on this package program.

City State Zip We do not accept personal checks and will return them to the sender. Credit/ In the event of a back order, may we substitute like items of equal or greater debit and prepaid cards will be charged on the day the order is placed. value? Note: unless you choose “NO,” we may substitute for out-of-stock or Refunds or credits will be applied to the card used for the order (allow restricted items. SENDER: REQUIRED for order fulfillment. additional time for refunds/credits on prepaid cards). Access Securepak _YES _NO reserves the right to remove one or more items from the order due to insufficient payment. CUSTOMER SERVICE: Sender’s Name westvirginiapackages.com SALES TAX: Access Securepak® is required by the state of West Virginia to Automated system is available 24 hours a day, seven days a week collect 6.00% sales tax on merchandise and processing fees. Food items are 1-800-546-6283 Street Address exempt. To figure sales tax amount take the subtotal and multiply it by the tax Live bilingual representatives are available Monday through Friday, rate of 6.00%. 8:30 a.m.–11:59 p.m. EST, and Saturday, 11 a.m.–5 p.m. EST. City State Zip Tax calculation example: “The personal information you provide is subject to Access Securepak’s $63.52 merchandise total + $4.00 processing fee = $67.52 subtotal privacy policy which is available at westvirginiapackages.com” Phone Number $67.52 subtotal x 0.06 tax rate = $4.05 tax total $67.52 subtotal + $4.05 tax = $71.57 total due Email (You will receive confirmation emails when the order is placed and shipped.) ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable. CALCULATE AMOUNT DUE: LIMITS: Orders will only be accepted from the offenders that are mailed TAX TOTALS directly from the facility. Food: x 1.00 Phase 2 inmates are allowed (1) $50 package per month, food/hygiene items 1.06 only Non-Food: x = Phase 3 inmates are allowed (1) $100 package per month. Processing Fee: $4.00 x 1.06 = $4.24 Phase 4 inmates are allowed (1) $150 package per month. Phase 5 inmates are allowed (1) $200 package per month. TOTAL AMOUNT DUE:

WV RSAT & SPECIAL PROG Cycle 7 Cycle 8 Cycle 9 First Date to Place Orders Saturday, August 1, 2020 Tuesday, September 1, 2020 Thursday, October 1, 2020 Mail Orders Postmarked By Friday, August 21, 2020 Friday, September 18, 2020 Friday, October 23, 2020 SELECT PAYMENT METHOD: Last Date to Place All Orders Friday, August 28, 2020 Friday, September 25, 2020 Friday, October 30, 2020 ¨ Institutional Check ¨ Cashier’s Check ¨ Money Order Delivery Thursday, September 3, 2020 Thursday, October 1, 2020 Thursday, November 5, 2020 Make check or money order payable to ACCESS SECUREPAK Cycle 10 Cycle 11 Cycle 12 ¨ VISA ¨ MasterCard ¨ Discover First Date to Place Orders Sunday, November 1, 2020 Tuesday, December 1, 2020 Friday, January 1, 2021 Mail Orders Postmarked By Friday, November 20, 2020 Friday, December 18, 2020 Friday, January 22, 2021 Last Date to Place All Orders Friday, November 27, 2020 Friday, December 25, 2020 Friday, January 29, 2021 Cardholder Name Delivery Thursday, December 3, 2020 Thursday, December 31, 2020 Thursday, February 4, 2021

Cardholder Signature Cycle 1 Cycle 2 Cycle 3 / / First Date to Place Orders Monday, February 1, 2021 Monday, March 1, 2021 Thursday, April 1, 2021 Mail Orders Postmarked By Friday, February Friday, March 19, 2021 Friday, April 16, 2021 Daytime Phone Number Today’s Date mm/dd/yyyy 19, 2021 Last Date to Place All Orders Friday, February 26, 2021 Friday, March 26, 2021 Friday, April 23, 2021 Delivery Thursday, March 4, 2021 Thursday, April 1, 2021 Thursday, April 29, 2021

Credit Card Number Cycle 4 Cycle 5 Cycle 6 Saturday, May 1, 2021 Tuesday, June 1, 2021 Thursday, July 1, 2021 / Security code is last First Date to Place Orders three digits of account Mail Orders Postmarked By Friday, May 21, 2021 Friday, June 18, 2021 Friday, July 23, 2021 Expiration Date Security Code number panel. Last Date to Place All Orders Friday, May 28, 2021 Friday, June 25, 2021 Friday, July 30, 2021 Delivery Thursday, June 3, 2021 Thursday, July 1, 2021 Thursday, August 5, 2021