Orde o Maine DOC Quarter Ault
Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021
Please complete all info on reverse (print clearly).
ITEM DESCRIPTION
PRICE
QTY TOTAL
PRICE
ITEM #
DRINKS
Coffee
Cafe Genial 3 oz. Cafe De Olla Instant Coffee with
Cinnamon
Keefe 3 oz. Alturo Blend Coffee K H C D R
$3.65 / EA
$2.50 / EA
80007662
10243
ITEM DESCRIPTION
ITEM #
Golden Valley 20 oz. Corn Flakes Cereal K R
$4.50 / EA
80001729
Golden Valley Cereal 20 oz. Frosted Shredded
Wheat R
$4.50 / EA
10363
Kellogg¡¯s 3.1 oz. Apple Jacks Cereal Resealable
Package K
$2.50 / EA
80006256
Oatmeal
Tea
Bigelow 1.37 oz. Perfect Peach Herbal Tea (20 Ct.)
K
$5.80 / BX
80001194
Bigelow 1.64 oz. Vanilla Chai Tea (20 Ct.)
$5.35 / BX
10595
Bigelow 1.73 oz. Spiced Chai Black Tea (20 Pk.)
$5.80 / BX
80000680
Malt-O-Meal 1.23 oz. Apple & Cinnamon Instant
Oatmeal (Single Serve) K
$0.50 / EA
6087
Granola Bars
Nature Valley 1.49 oz. Peanut Butter Granola Bar K
$8.50 / EA
$1.30 / EA
4466
80007922
Tampico .77 oz. SF Citrus Punch Drink Mix
(6 Pk.) D
80008647
Cappuccino
Keefe 8 oz. French Vanilla Cappuccino K H C R
Kar¡¯s 2 oz. All Energy Trail Mix K
$1.00 / EA
5866
Kar¡¯s 3.5 oz. Sweet N Salty Trail Mix C
$1.45 / EA
5865
Kellogg¡¯s 1.3 oz. Original Rice Krispies Treats
$0.90 / EA
2381
Kings Nut 2 oz. Sweet & Salty Mix
$1.10 / EA
80005496
Kings Nut 3.25 oz. Roasted & Salted Sunflower
Kernels K H
$1.10 / EA
80003356
Kings Nut 6 oz. Roasted & Salted Sunflower Kernels $1.80 / EA
80003375
Moon Lodge 1.5 oz. Buffalo Wing Blue Cheese
Potato Chips K H
$0.70 / EA
80000963
7637
$1.45 / EA
80007188
Moon Lodge 1.5 oz. Stuffed Jalapeno Potato Chips
KH
$0.70 / EA
7 Days 2.65 oz. Chocolate Croissant K
7 Days 2.65 oz. Soft Croissant with Dulce de Leche
Caramel Filling
$1.45 / EA
80007190
Planters 2 oz. Tropical Fruit & Nut Trail Mix
$1.45 / EA
80001255
$1.45 / EA
80007191
Snyder¡¯s 2.25 oz. Honey Mustard and Onion Pretzel $1.25 / EA
Pieces K D
9553
7 Days 2.65 oz. Strawberry Vanilla Croissant K
Dolly Madison 2.7 oz. Golden Creme Cakes (2 Pk.)
$1.10 / EA
80006321
Snyder¡¯s 2.25 oz. Hot Buffalo Wing Pretzel Pieces
KD
$1.10 / EA
6108
Hostess 5 oz. Berries & Cream Cheese Danish
$2.10 / EA
80002460
Snyder¡¯s 2.25 oz. Jalapeno Pretzel Pieces K D
$1.25 / EA
2299
Mrs. Freshley¡¯s 4 oz. Raspberry Dreamies (2 Pk.)
$1.55 / EA
80001118
TGI Fridays 1 oz. Cheddar and Sour Cream Potato
Skins Snacks K
$0.80 / EA
80003514
Andy Capp¡¯s .85 oz. Hot Fries
$0.70 / EA
6743
The Whole Shabang 1.5 oz. Extreme Ripple Potato
Chips K H
$0.80 / EA
80002293
Cactus Annie¡¯s 2 oz. Hot & Spicy Pork Rinds
$1.35 / EA
80008355
The Whole Shabang 2 oz. Pork Rinds D
$1.65 / EA
80003053
Doritos 7.5 oz. Spicy Sweet Chili Chips
$2.40 / EA
80005365
The Whole Shabang 6 oz. Extreme Kettle Cooked
Potato Chips K
$2.00 / EA
80003393
El Sabroso 1.5 oz. Guacachip Tortilla Chips
$1.60 / EA
80006900
El Sabroso 3 oz. Guacamole Flavored Tortilla Chips
$1.85 / EA
7089
$2.95 / PK
80001489
Gardetto¡¯s 2.5 oz Original Recipe Snack Mix
$1.50 / EA
80006670
Jensen¡¯s Orchard 2 oz. Veggie Chips
$2.00 / EA
7779
$2.25 / EA
6607
Kar¡¯s 1.25 oz. Sweet ¡®n Salty Mix
$1.00 / EA
9791
Moon Lodge 2.8 oz. Butter Light Microwave Popcorn $0.75 / EA
K
5376
Chips & Snacks
$1.95 / EA
3701
$2.75 / BX
80001146
Cocoa
Swiss Miss 4.38 oz. Hot Cocoa w/Marshmallows
(6 Pk.)
ITEM #
7081
Starburst 0.43 oz. Zero Sugar Singles To Go All Pink $3.95 / BX
Strawberry Drink Mix (6 Pk.) K D
$3.95 / BX
QTY TOTAL
PRICE
PRICE
7166
Drink Mixes
Lemon-Lime Gatorade 2.12 oz. (makes 1 quart)
ITEM DESCRIPTION
$1.30 / EA
Pastries & Snack Cakes
Creamer
Nestle Coffee-Mate 10.2 oz. Creamer - Sugar Free
Hazelnut K D
QTY TOTAL
PRICE
PRICE
FOOD & SNACKS
Cereal
Cap¡¯n Crunch¡¯s 3.1 oz. Oops! All Berries Cereal
Pouch
$2.50 / EA
80007766
Cinnamon Toast Crunch 2 oz Cereal Cup Single
Serve
$2.60 / EA
80006664
Golden Valley 20 oz. Chocolate Frosted Flakes
Cereal K R
$4.50 / EA
80002971
Total
K - Kosher ? H - Halal ? C - Clear ? D - Diabetic ? R - Resealable ? G - Gluten Free ? S - Soy Free
Pudding
Kraft 14 oz. Chocolate Pudding Cup (4 Pk.) K
Popcorn
Fiddle Faddle 6 oz. Butter Toffee Popcorn with
Peanuts K
Total
Total
Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021
Please complete all info on reverse (print clearly).
ITEM DESCRIPTION
Moon Lodge 3.53 oz. Caramel Popcorn K H D
Moon Lodge 5 oz. Jalapeno Cheddar Popcorn D
PRICE
ITEM #
$1.00 / EA
7758
$1.60 / EA
QTY TOTAL
PRICE
ITEM DESCRIPTION
QTY TOTAL
PRICE
PRICE
ITEM #
Corner Store 4 oz. Gummi Bears Candy
$1.35 / EA
80005555
Corner Store 4 oz. Sour Neon Worms Candy
$1.35 / EA
80005556
Candy
80006283
Nuts
$2.65 / EA
80003352
E.Z. Digby¡¯s 2.75 oz. Bit-O-Honey C
$1.45 / EA
40626
Kings Nut 3 oz. Roasted Unsalted Peanuts
$1.10 / EA
80003355
Funables 2.5 oz. Mixed Berries Fruit Snack
$0.95 / EA
80009183
Kings Nut 7 oz. Salted Peanuts K H
$1.60 / EA
80003376
Rocky Road 1.65 oz. Candy Bar
$1.65 / EA
7016
The Whole Shabang 1.75 oz. Peanuts K H C D
$1.25 / EA
80002177
Russell Stover 1.125 oz. Mint Dream
$1.80 / EA
6876
Sour Patch 3 oz. Gummi Watermelon Candy C
$1.35 / EA
80002126
Austin Pepperjack Sandwich Crackers (8 Pk.) K
$3.15 / BX
80007339
Swedish Fish 3 oz. Red Candy C
$1.35 / EA
80005733
Cheez-It .75 oz. Crackers Made w/Whole Grain
$0.60 / EA
80002393
Wheat Thins 1.75 oz. Crackers
$0.90 / EA
9461
Cookies
Bud¡¯s Best 6 oz. Bite Size Chocolate Chip Cookies
$1.85 / EA
80006956
Classic Cookie 3 oz. Soft Baked Peanut Butter
Cookie with Reese¡¯s Peanut Butter Chips
$1.95 / EA
80006960
Famous Amos 2 oz. Chocolate Chip Cookies K
$0.85 / EA
Grandma¡¯s 2.5 oz. Chocolate Chip Cookies
Brushy Creek 1.625 oz. Hot Summer Sausage G
$1.36 / EA
80001716
Brushy Creek 1.625 oz. Regular Summer Sausage G
$1.25 / EA
80001715
Jack Link¡¯s 1 oz. Hot Wild Snack Stick
$1.90 / EA
80003440
Real Snacks .5 oz. Mini Original Kosher Beef Stick
K
$1.25 / EA
80009136
Chicken of the Sea 3.53 oz. Sardines in Louisiana
Hot Sauce K
$1.45 / EA
10358
Chicken of The Sea 5 oz. Mackerel Fillets in
Soybean Oil D
$2.40 / EA
80008442
$5.35 / EA
1722
Brushy Creek 11.25 oz. Lasagna with Beef in Sauce $2.40 / EA
1721
Ready-To-Eat Meals
Sauces
Sweet Baby Ray¡¯s 1.5 oz. Original BBQ Sauce Pouch $0.85 / EA
(1 pouch)
10914
Viva Pancho Salsa 5 oz. Picante Hot Sauce C
1700
$1.15 / EA
Brushy Creek 11.25 oz. Beef in Barbecue Sauce
Spices & Seasonings
$1.95 / EA
ITEM #
Seafood
9824
Classic Cookie 3 oz. Soft Baked Chocolate Chip
Cookie with Hershey¡¯s Mini Kisses
QTY TOTAL
PRICE
PRICE
Meat Snacks
Kings Nut 2.5 oz. Roasted & Salted Cashews K H
Crackers
ITEM DESCRIPTION
Brushy Creek 5 oz. Chicken Vienna Sausage D
$1.75 / EA
80002944
$2.35 / EA
80008566
$1.50 / EA
80000147
Colonna Brothers 3 oz. Ground Cinnamon K D
$1.55 / EA
80007071
Hormel 2.5 oz. Spam Single D
Colonna Brothers 3 oz. Imitation Bacon Bits K
$1.75 / EA
80007065
Vegetables
850
Colonna Brothers Spices 2.5 oz. Salt Free Original
Blend K
$1.75 / EA
80007074
$1.30 / EA
80001046
Colonna Brothers Spices 4.75 oz. Seasoned Salt
KD
$1.75 / EA
80007072
Brushy Creek 8 oz. Cajun Style Rice with Chicken
& Sausage
$3.45 / EA
80003084
Grandma¡¯s 2.5 oz. Soft Peanut Butter Cookies
$1.30 / EA
7790
Taco Bell 1 oz. Original Taco Seasoning Mix D
$1.15 / EA
80002308
Minute Rice 2 oz. White Rice
$0.85 / EA
80008370
Keebler 11.5 oz. Whoopsy! Fudge Stripes Fudge
Mint Cookies K
$3.80 / EA
80006977
Minute Rice 8 oz. White Rice Clear Resealable
Pouch
$1.65 / EA
80005364
Lil¡¯ Dutch Maid 13 oz. Lemon Creme Cookies
$2.15 / EA
80002084
Sevilla 4.4 oz. HOT Chili Flavor Refried Beans &
Rice K H C
$1.50 / EA
5940
Sevilla 4 oz. Red Beans & Rice
$1.40 / EA
80008372
Idahoan 2 oz. Instant Mashed Potatoes
Lil¡¯ Dutch Maid 5 oz. Duplex Creme Cookies
$1.00 / EA
80002230
Marianitas 6.53 oz Coconut Cookies Galletas
$1.45 / EA
80008610
Uncle Al¡¯s 5 oz. Chocolate Cremes Cookies
$1.45 / EA
5792
Rice
Cheese
City Cow 4 oz. White Queso Dip C D R G
$1.85 / EA
6017
Painted Cow 2 oz. Cream Cheese Pouch
$0.75 / EA
80003625
Risparmio 3 oz. Grated Parmesan Cheese Blend
$1.85 / EA
80007075
Velveeta 4 oz. Nacho Cheese Dip w/Jalapenos
Snack Spread Tub C R G
$1.90 / EA
9398
Total
K - Kosher ? H - Halal ? C - Clear ? D - Diabetic ? R - Resealable ? G - Gluten Free ? S - Soy Free
Total
Beans
Total
Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021
Please complete all info on reverse (print clearly).
ITEM DESCRIPTION
PRICE
ITEM #
$3.95 / EA
9484
QTY TOTAL
PRICE
Soup
Lipton 2.2 oz. Cup-a-Soup Beefy Onion Soup Mix
(2 Pk.)
ITEM DESCRIPTION
QTY TOTAL
PRICE
PRICE
ITEM #
$3.50 / EA
80002209
Styling Products & Accessories
Scunci Ponytail (18 Ct.)
Knorr 4.1 oz. Pasta Sides Cheesy Spinach Dip
Fettuccini
$3.80 / EA
80001123
Mama 2.1 oz. Pork Flavour Noodles
$1.00 / EA
10098
Protein Bars
Elementz 15 oz. Deep Sea Minerals Invigorating
Body Wash
$3.00 / EA
24943
Elementz 15 oz. Sea Algae Extracts Relaxing Body
Wash
$3.00 / EA
24945
$2.35 / EA
26294
Tiger¡¯s Milk 1.23 oz. Protein Rich Nutrition Bar D
$1.25 / EA
21869
Dial 3.5 oz. Antibacterial Soap (1 bar)
$1.50 / EA
20920
Zest 4 oz. Aqua Pure Soap (1 bar)
$2.65 / EA
80000487
Lotion
HEALTH & BEAUTY
Ethnic Hair Care
African Pride 12 oz. Shampoo & Conditioner 2 in 1
$6.75 / EA
80007171
Cantu 13 oz. Shea Butter Oil Moisturizer
$8.70 / EA
80007174
Cantu Shea 16 oz. Repair Cream Leave-In Conditioner
$7.00 / EA
80007896
Luster¡¯s 8 oz. Pink Oil Moisturizer
$6.50 / EA
20380
Ors 8.5 oz. Olive Oil Moisturizer Hair Lotion
$8.00 / EA
80007897
Suave 10 oz. Advanced Therapy Lotion
$3.95 / EA
21926
Vaseline 10 oz. Cocoa Butter Deep Conditioning
Lotion
$5.85 / EA
24605
Vaseline 10 oz. Total Moisture Aloe Fresh Lotion
$5.85 / EA
26065
Vaseline 10 oz. Total Moisture Lotion
$5.85 / EA
21876
GoodSense 10mg Famotidine Tablets (30 Ct.)
$6.50 / EA
24733
Goodsense Omeprazole Heartburn Relief (14 Ct.)
$14.80 / EA
24352
Pepcid 20 mg. Acid Reducer (8 Ct.)
$7.90 / EA
20896
Cover Girl Brow & Eyemakers - Midnight Black
(2 Pk.)
$4.75 / PK
22003
Cover Girl Brow & Eyemakers - Rich Brown (2 Pk.)
$4.75 / PK
22004
Cover Girl Perfect Blend Eyeliner - Basic Black
$6.00 / EA
22179
Cover Girl Perfect Blend Eyeliner - Black Brown
$6.00 / EA
22189
Cover Girl Perfect Blend Eyeliner Pencil - Charcoal
$6.00 / EA
22188
Cover Girl Perfect Blend Eyeliner Pencil - Smoky
Taupe
$6.00 / EA
22009
Cover Girl Foundation Smoothers - Ivory
$9.50 / EA
24154
Cover Girl Liquid Foundation - Classic Tan
$9.50 / EA
24160
Cover Girl Liquid Foundation - Soft Honey
$9.50 / EA
24208
Cover Girl Smoothers Hydrating Makeup - Classic
Ivory
$9.50 / EA
24155
Blistex .21 oz. Medicated Lip Ointment
$2.85 / EA
20519
Cerave 1 oz. Moisturizer w/Retinol
$27.85 / EA
80006327
$2.35 / EA
24937
Deodorant
$2.10 / EA
20641
Cover Girl Smoothers Hydrating Makeup - Creamy
Natural
24066
24939
Lady Speed Stick Invisible Dry 1.4 oz. Anti-Perspirant Shower Fresh
$9.50 / EA
Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.35 / EA
Elementz 15 oz. Thickening Shampoo w/Aloe &
Ginseng
$2.35 / EA
24936
Secret 1.7 oz. Powder Fresh Deodorant
$2.75 / EA
21046
Cover Girl Smoothers Hydrating Makeup - Natural
Beige
$9.50 / EA
24157
Pantene Pro V 12.6 oz. Classic Clean 2-in-1 Shampoo and Conditioner
$7.85 / EA
80001604
Midol Max Strength (16 Ct.)
$6.00 / EA
22359
Clear 6.4 oz. Gel Toothpaste C
$3.10 / EA
21500
Suave 15 oz. Daily Clarifying Shampoo
$3.00 / EA
80007177
Colgate Classic Soft Toothbrush
$0.95 / EA
80002159
Suave 15 oz. Men¡¯s Hair & Body Wash
$3.85 / EA
80004575
Vitamins & Supplements
Suave 15 oz. Waterfall Mist Conditioner
$3.75 / EA
80007178
$6.75 / EA
22850
Elementz 15 oz. Daily Shampoo Eucalyptus & Mint
Dental Care
Glucosamine Sulfate - 500 mg
Total
K - Kosher ? H - Halal ? C - Clear ? D - Diabetic ? R - Resealable ? G - Gluten Free ? S - Soy Free
QTY TOTAL
PRICE
Women Only Items
Skin Care
Hair Care
ITEM #
Cosmetics
Soap
Promax 2.64 oz. Double Fudge Brownie Protein
Bar K D
PRICE
Pharmaceuticals
Body Wash
Noodles
ITEM DESCRIPTION
Total
Total
Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021
Please complete all info (print clearly).
SHIP TO:
We cannot send orders from one inmate to another.
Inmate¡¯s Name
ID#
Institution/Dorm/Housing#
Street Address
City
State
SENDER:
Zip
REQUIRED for order fulfillment.
Street Address
State
Zip
Phone Number
Email
(You will receive confirmation emails when the order is placed and shipped.)
CALCULATE AMOUNT DUE:
TAX
Merchandise Total:
Processing Fee:
$5.00
x
x
TOTALS
1.055
1.055
=
=
$5.28
TOTAL AMOUNT DUE:
¡§ Money Order
Make check or money order payable to ACCESS SECUREPAK
¡§ VISA
¡§ MasterCard
¡§ Discover
SALES TAX: Tax rate of 5.5% on merchandise and shipping and
handling fee applies as required by the state.
ELIGIBILITY: Access Securepak verifies inmate eligibility before
shipping packages, if applicable.
Cardholder Name
Cardholder Signature
/
Daytime Phone Number
/
Today¡¯s Date mm/dd/yyyy
Credit Card Number
/
Expiration Date
We do not accept personal checks and will return them to the 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 used
for the order (allow additional time for refunds/credits on prepaid
cards). Access Securepak reserves the right to remove one or more
items from the order due to insufficient payment.
Tax calculation example:
$42.52 merchandise total + $5.00 shipping and handling fee =
$47.52 subtotal
$47.52 subtotal x 0.055 tax rate = $2.61 tax due
$47.52 subtotal + $2.61 tax due = $50.13 total due
SELECT PAYMENT METHOD:
¡§ Cashier¡¯s Check
WAYS TO ORDER:
Online:
Phone: 1-800-546-6283
Mail: Access Securepak (ME), 10880 Linpage Place, St. Louis, MO
63132
Fax: 1-866-754-2813
ACCEPTABLE FORMS OF PAYMENT:
? Credit/Debit Cards¡ªVISA, MasterCard, Discover
? Prepaid cards that have a verifiable United States address
? Cashier¡¯s check
? Money order
Sender¡¯s Name
City
PROGRAM DATES:
Ordering Begins: August 17, 2021
Ordering Ends: September 16, 2021
Postmark date for mail orders: September 9, 2021
Orders must be received by: September 16, 2021
Delivery to facility: Weekly
Security Code
Security code is last
three digits of account
number panel.
LIMITS: Maximum of 1 package no more than $50.00 of product
per inmate, per week
CATALOG CHANGES: Every effort has been made to show and
describe the merchandise as accurately as possible. Because many
manufacturers change an item¡¯s design, color, package size and
style after our catalog is produced, we reserve the right to discontinue or change product specifications without prior notice. We regret
any changes that might occur and will make every effort to minimize
these occurrences. Inadvertent errors in product descriptions, pricing and special offers are not binding on Access Securepak, and we
may make adjustments at any time. Additionally, many of our food
items may contain common allergens such as milk, eggs, wheat and
peanuts. Before consuming a food item, please consult the product
packaging for specific information on its ingredients. Prices and offers are subject to change and available while supplies last. Always
consult the website for the latest updates on
this package program.
CUSTOMER SERVICE:
Automated system is available 24 hours a day, seven days a week
1-800-546-6283
Live bilingual representatives are available Monday through Friday,
8:30 a.m.¨C11:59 p.m. EST, and Saturday, 11 a.m.¨C5 p.m. EST.
................
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