Southern Heat Products Co.                                                               Office/Fax:  817-478-7984
P.O. Box 171572                                                                                                                                                                                    888-6LS-HEAT
Arlington, TX  76003-1572                                                                                                                                                      www.lonestarheat.com

Ship to: _________________________                    Bill to: ___________________________

              _________________________                                 __________________________

                                      _________________________                                ___________________________

 Date ________    Date to ship ___________   Telephone No. ____________   Email ________________________

                                                                         (USA)
   Quantity          Each             Pricing            S & H              Total Cost       Product                       How Many

1               $5.50              $5.50               $4.00               $9.50               Mild Salsa                  Discontinued       2               $5.00              $10.00             $5.00               $15.00             Medium Salsa            __________        3               $5.00              $15.00             $6.00               $21.00             Hot Salsa                    Discontinued       4               $5.00              $20.00             $6.50               $26.50             Black Bean Salsa        Discontinued        5               $5.00              $25.00             $7.00               $32.00             Chipotle Salsa            __________        6               $4.75              $28.50             $7.50               $36.00             Habanero Salsa          __________          7               $4.785            $33.50             $8.00               $41.50             Tortilla Soup Fixins    __________        8               $4.812            $38.50             $8.50               $47.00             Chili Starter                __________          9               $4.833            $43.50             $9.00               $52.50             Barbecue Sauce         Discontinued
10             $4.85              $48.50             $9.50               $58.00             Jalapeno Jelly            __________
11             $5.00              $55.00             $10.00             $65.00             Amaretto Peach         __________
Buy 12 & Save               $50.00             $10.00             $60.00             Pecan Jelly

                                                                                                                          Total Quantity            __________

Payment Method: _____ (Check, Visa, Mastercard, Discover, Amex)             Sub-total                      __________

Credit Card #: ______________________   Exp.: _____                              Shipping                       __________

Signature*: ______________________________                                          Handling                      __________

*Signature authorizes Southern Heat Products Co.                                                                TOTAL                       __________
to debit the above referenced credit card.

THIS IS NOT A BILL
                                             
F.O.B. Point:   Arlington, Texas 76001                     Prices subject to change without notice.

 THANK YOU FOR YOUR BUSINESS