K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total Total

Order Form Macon YDC Holiday Ordering Dates December 1 - December 14, 2017Please complete all info on reverse (print clearly).

ITEM DESCRIPTION PRICE ITEM # QTY TOTALPRICE

FOOD & SNACKS

Cereal

Kellogg’s 3.1 oz. Apple Jacks Cereal K R $1.95 / EA 80005258

Kellogg’s 3.1 oz. Froot Loops Cereal R $1.95 / EA 80005257

Kellogg’s 3.6 oz. Frosted Flakes Cereal $1.95 / EA 80005254

Cereal Bars

Golden Valley 1.3 oz. Strawberry Cereal Bar K $0.40 / EA 6045

Toaster Pastries

Kellogg’s 14.7 oz. Frosted Blueberry Pop Tarts (8 Pk.)

$3.75 / BX 10548

Pastries & Snack Cakes

Golden Valley 4 oz. Everything Bagel K H $0.75 / EA 80004433

Market Square Bakery 4 oz. Iced Swirl Cinnamon Roll K C

$1.15 / EA 6057

Market Square Bakery 4 oz. Strawberry ZuZus (2 Pk. Donuts) K

$1.05 / EA 6046

Mrs. Freshley’s 4.5 oz. Apple Fruit Pie $1.15 / EA 9739

Chips & Snacks

Cactus Annie’s 11 oz. “The Whole Enchilada” Party Mix K H C

$2.75 / EA 902

Cheetos 8 oz. Flamin’ Hot Crunchy C G $2.80 / EA 7687

Cheetos 9 oz. Crunchy C G $2.95 / EA 7683

Combos 6.3 oz. Pepperoni Pizza H G S $3.80 / EA 6905

Doritos 8 oz. Nacho Cheese Chips C $2.90 / EA 10514

Fritos 4 oz. Regular Corn Chips $1.55 / EA 6378

Kellogg’s 1.3 oz. Original Rice Krispies Treats $1.00 / EA 2381

Kellogg’s 3 oz. Rice Krispies Treats Double Choco-latey Chunk

$2.10 / EA 10572

Moon Lodge 1.5 oz. Buffalo Wing Blue Cheese Potato Chips K H

$0.65 / EA 80000963

Snyder’s 2.25 oz. Honey Mustard and Onion Pretzel Pieces

$1.25 / EA 9553

The Whole Shabang 2 oz. Pork Rinds $1.35 / EA 80003053

The Whole Shabang 6 oz. Original Potato Chips K H $2.30 / EA 5114

ITEM DESCRIPTION PRICE ITEM # QTY TOTALPRICE

The Whole Shabang 9.5 oz. Extreme Crunchies K H $2.75 / EA 80001670

Popcorn

Fiddle Faddle 6 oz. Butter Toffee Popcorn with Peanuts K

$2.00 / EA 6607

Nuts

Kings Nut 3.25 oz. Health Mix $1.40 / EA 80003371

Zachary 5 oz. Bridge Mix Chocolate Covered Nuts $2.65 / EA 7286

Crackers

Cheez-It 1.5 oz. Cheddar Crackers K $0.60 / EA 9590

Cheez-It 7 oz. Cheddar Jack Crackers R $4.00 / EA 7452

Cookies

Bud’s Best 6 oz. Candy ‘n Cookies - Butterfinger Mini Cookies K G S

$1.75 / EA 6386

Bud’s Best 6 oz. Chocolate Peanut Butter Mini Cookies K

$1.75 / EA 6384

Bud’s Best 6 oz. Orange Bite Delight Cookies $1.80 / EA 7924

Delicious Bakery 12.4 oz. Chocolate Chip Cookies w/Candy Gems

$4.50 / EA 80001496

Famous Amos 2 oz. Chocolate Chip Cookies $0.60 / EA 850

Gamesa 4.94 oz. Marias Cookies $0.75 / EA 80005515

Keebler 11.6 oz. Chips Deluxe Triple Chocolate Cookies K

$6.35 / EA 80000616

Lil Dutch Maid 5 oz. Duplex Creme Cookies $2.15 / EA 80002230

Oven Baked 13 oz. Fudge Striped Shortbread Cookies

$3.00 / EA 80001120

Candy

Sathers 4 oz. Gummy Bears $1.00 / EA 80000867

Sathers 4 oz. Sour Neon Worms $1.00 / EA 80000868

Select Sweets 8 oz. Jelly Beans $1.75 / EA 80002185

Starburst 2.07 oz. Fruit Chews $1.75 / EA 953

Zachary 5.5 oz. Assorted Chocolates $3.65 / EA 80002244

HEALTH & BEAUTY

Shampoo

Elementz 15 oz. Daily Shampoo Eucalyptus & Mint $2.00 / EA 24937

ITEM DESCRIPTION PRICE ITEM # QTY TOTALPRICE

Suave 12 oz. Juicy Green Apple Shampoo $2.00 / EA 26138

Conditioner

Suave 12 oz. Refreshing Waterfall Mist Conditioner $2.00 / EA 26137

Body Wash

Dove 12 oz. Deep Moisture Body Wash $6.75 / EA 24034

Soap

Next 1 - 5 oz. Anti-bacterial Sport Soap (1 Bar) C $1.00 / EA 22098

Next 1 - 5 oz. Cocoa Butter Soap (1 Bar) C $0.70 / EA 22096

Lotion

Crawford 4 oz. Cocoa Butter Lotion C $0.60 / EA 20033

Infuzed Island Naturals 15 oz. Coconut Lime & Aloe Lotion

$2.00 / EA 24967

Infuzed Island Naturals 15 oz. Shea Butter Lotion $2.00 / EA 24966

Dental Care

Colgate 4.6 oz. 2-in-1 Icy Blast Toothpaste C $5.25 / EA 21748

Colgate 4 oz. Great Regular Flavor Anticavity Toothpaste

$3.25 / EA 80002779

SAMPLE

Inmate’s Name ID#

Institution/Dorm/Housing#

Street Address

City State Zip

Sender’s Name

Street Address

City State Zip

Phone Number

Email (You will receive confirmation emails when the order is placed and shipped.)

SHIP TO:

SENDER:

We cannot send orders from one inmate to another.

REQUIRED for order fulfillment.

PROGRAM DATES:

Ordering Begins: December 1, 2017

Ordering Ends: December 14, 2017

Postmark date for mail orders: December 7, 2017

Orders must be received by: December 14, 2017

Delivery to facility: On or before December 22, 2017

WAYS TO ORDER:

Online: ydcpackages.com

Phone: 1-855-768-0785

Mail: Access Securepak (GA), 10880 Linpage Place St. Louis, MO

63132

ACCEPTABLE FORMS OF PAYMENT:

• Credit/Debit Cards—VISA, MasterCard, Discover

• Prepaid cards that have a verifiable United States address

• Cashier’s check

• Money order

We do not accept personal checks and will return them to the send-

er. 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.

SALES TAX: Access Securepak is required by the state of Georgia

to collect 3% sales tax on all food items and 7% sales tax on all

non- food items and the processing fee. Please see the tax calcula-

tion example below for more information.

Tax calculation example:

$32.50 food items total x 1.03 (tax rate) = $33.48 food items subto-

tal

$5.75 non- food items total x 1.07 (tax rate) = $6.15 non- food items

subtotal

$4.00 processing fee x 1.07 (tax rate) = $4.28 processing fee sub-

total

$33.48 food items subtotal + $6.15 non- food items subtotal +

$4.28 processing fee subtotal = $43.91 total amount due

LIMITS: Maximum $40 of product per resident. Multiple packages

can be ordered, and we will consolidate orders not to exceed the

maximum $40 of product per program.

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 discontin-

ue 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, pric-

ing 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 of-

fers are subject to change and available while supplies last. Always

consult the ydcpackages.com website for the latest updates on this

package program.

In the event of a back order, may we substitute like items of equal or

greater value? Note: unless you choose “NO,” we may substitute for

out-of-stock or restricted items.

_YES _NO

CUSTOMER SERVICE:

ydcpackages.com

Automated system is available 24 hours a day, seven days a week

1-855-768-0785

Live bilingual representatives are available Monday through Friday,

8:30 a.m.–11:59 p.m. EST, and Saturday, 11 a.m.–5 p.m. EST.

Credit Card Number

/

Expiration Date Security Code

Security code is last three digits of account number panel.

SELECT PAYMENT METHOD:

¨ Cashier’s Check ¨ Money OrderMake check or money order payable to ACCESS SECUREPAK

¨ VISA ¨ MasterCard ¨ Discover ¨ Prepaid

Cardholder Name

Cardholder Signature

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

Order Form Macon YDC Holiday Ordering Dates December 1 - December 14, 2017Please complete all info on reverse (print clearly).

CALCULATE AMOUNT DUE:TAX TOTALS

Food: x 1.03 =

Non - Food:: x 1.07 =

Processing Fee: $4.00 x 1.07 = $

TOTAL AMOUNT DUE:

SAMPLE