Carolina Sauce Company, Inc.

Fax: 919-882-9593

Fax Order Form

Billing Information
Name	__________________________________________________________
Address	__________________________________________________________
Address	__________________________________________________________
City	_____________________________ State ________ Zip ____________
Phone	__________________________________________________________
Credit Card (circle)	Mastercard - Visa
Credit Card Number	__________________________________________________________
Expiration Date	__________________________________________________________
Shipping Information	(leave blank if different)
Name	__________________________________________________________
Address	__________________________________________________________
Address	__________________________________________________________
City	_____________________________ State ________ Zip ____________
Phone	__________________________________________________________

Quantity	Item #	Description	Price







		Sub Total
		7% NC Sales Tax (if inside NC)
		Total