CHINCOTEAGUE SEAFOOD CO., INC.
7056 FOREST GROVE ROAD * P.O. BOX 88 * PARSONSBURG, MD  21849
PHONE 443-260-4800 * FAX 443-260-4900
www.chincoteagueseafood.com * gourmetsoups@hotmail.com

Retail/Consumer					DATE: _____________________________
CUSTOMER: ___________________________	SHIP TO: __________________________
ADDRESS: _____________________________	ADDRESS: _________________________
CITY/STATE/ZIP: ______________________		CITY/STATE/ZIP: __________________
TELEPHONE: __________________________	TELEPHONE: ______________________

QTY	DESCRIPTION	CODE	PRICE	SHIPPING EAST OF MS	SHIPPING WEST OF MS	TOTAL DUE	
	Soup-Er-Suitcase	6000	$32.00	$8.00	$10.50		
	      (Buy 2 and Save)		$60.00	$11.00	$18.00		
	Chowder Lover Sampler Tray	6005	$21.00	$7.00	$9.50		
	Bisque Lovers Sampler Tray	6020	$21.00	$7.00	$9.50		
	Crab Soup Lovers Sampler Tray	6015	$21.00	$7.00	$9.50		
	New England Clam Lover Tray	6075	$21.00	$7.00	$9.50		
	Gourmet Special Sampler Tray	6001	$21.00	$7.00	$9.50		
	     (Buy 3 Trays and Save – 
Mix and Match – Your Choice)		$60.00	$11.00	$18.00		
	Family Chowder Special	6040	$25.00	$7.50	$10.00		
	Family Chowder/Bisque Sampler	6045	$25.00	$7.50	$10.00		
	Family Chowder/Crab Soup Sampler	6050	$25.00	$7.50	$10.00		
	Family Bisque and Crab Soup Sampler	6055	$25.00	$7.50	$10.00		
	Chowder Sampler in Pine Crate	3005	$16.00	$6.00	$7.50		
	Bisque Sampler in Pine Crate	3020	$16.00	$6.00	$7.50		
	Crab Soup Sampler in Pine Crate	3015	$16.00	$6.00	$7.50		
	Gourmet Special Sampler in Pine Crate	3001	$16.00	$6.00	$7.50		
	Italian Sampler in Pine Crate	3002	$16.00	$6.00	$7.50		
	Breader Sampler Kit on Trivet	3000	$16.00	$6.00	$7.50		
	     (Buy 3 Crates/Trivets and Save – 
Mix and Match – Your Choice)		$45.00	$8.00	$12.00		
	Bread Board Duo – New England Clam Chowder and Manhattan Clam Chowder	2001	$12.00	$6.00	$7.50		
	Bread Board Duo – Lobster Bisque and Clam Bisque	2002	$12.00	$6.00	$7.50		
	Bread Board Duo – Cream of Crab and Vegetable Red Crab Soup	2003	$12.00	$6.00	$7.50		
	Clam Chowder Mug	5000	$12.00	$6.00	$7.50		
	Vegetable Red Crab Soup Mug	5075	$12.00	$6.00	$7.50		
	Clam Cocktail Chest	5033	$12.00	$6.00	$7.50		
	     (Buy 3 Breadboards/Mugs/Cocktail Chests and Save – Mix and Match – Your Choice)		$33.00	$8.00	$12.00		
	SUBTOTAL		
	TOTAL SHIPPING		
	TOTAL DUE		
	TOTAL GIFT PACKS	

CREDIT CARD:	VISA		MC		DISC		AMEX
NUMBER: _____________________________________		EXP DATE: ___________
CARD HOLDER NAME: _________________________
THANK YOU FOR YOUR ORDER