Julio's Salsa & Sauce Order Form

Julio's Salsa Picante and Mango Cream Sauce is now available to you online. Just complete this form and fax it to Julio at Julio's Cocina Latina at 847-438-0651.  The salsa is priced at $4.75 per jar when purchased individually, or $4.25 per jar when you purchase an entire case of 12 jars ($51.00/case).  The Mango Cream sauce is priced at $6.00 per bottle. 

Of course if you do not have a fax, you may phone in your order by calling us at 847-438-3484. 

Name :

Address:

City:   State:    Zip 

Phone:

Method of Payment:

 Card Number:

Expiration Date (mm/dd/year):

Order form

Item

Quantity

Julio's Salsa Picante - jar - $4.95 / jar

Julio's Salsa Picante - Case (12 jars)  - $51.00/case

Julio's Mango Cream Sauce - - $5.95 / bottle

UPS shipping will be added to the invoice.

Additional comments or instructions:

 

PRINT THIS FORM AND FAX IT TO 847-438-0651

Julio's Cocina Latina,      Lake Zurich, Illinois,        Phone: (847) 438-3484