Cajun Care Form

A Division of RON CHAPMAN
Shipwright

P.O. Box 27 * CHALMETTE, LA. 70044
(504) 277-6526

Since 1976, Ron Chapman-Shipwright, Inc. has been manufacturing traditional Louisiana boats for local fisherman, hunters, and trappers. Now we are introducing "Cajun Care Packages".

A "Cajun Care Package" consists of a fiberglass replica of a traditional Louisiana boat or paddle filled with a sampling of Louisiana's best food products.

Treat your family, friends or clients to a real taste of Louisiana. The boats can be used for food display, planters, toys...a unique gift idea!

Type Quantity Unit Price Boxed Total
LARGE PIROGUE ________ $250.00 +$9.50 ________
MEDIUM PIROGUE ________ $175.00 +$7.50 ________
LAKE SKIFF ________ $95.00 +$2.50 ________
SMALL PIROGUE ________ $45.00 +$2.50 ________
24" PADDLE ________ $20.00 +$2.50 ________
12" PADDLE ________ $8.95 +$1.50 ________
Personalized Gift Card Included
Food Items may vary with Availability
Mail, Phone, or FAX you order
Shipping charges are additional
SUB-TOTAL ________
LA Residents 8.5% TAX ________
SHIPPING ________
TOTAL ________

BILL TO: SEND TO:
NAME:____________________________ NAME:____________________________
ADDRESS:_________________________ ADDRESS:_________________________
CITY/STATE:_______________________ CITY/STATE:_______________________
ZIP:_______________________________ ZIP:_______________________________

Biller's PHONE:___________________ Biller's FAX:___________________

American Express Visa Master Card Check
Name on Card:________________________ AUTHORIZATION CODE
Account Number:______________________
Exp. Date:____________________________
Please Print this Page, Fill it out, and mail it to us. Back To Cajun Care Package's Main Page

Type	Quantity	Unit Price	Boxed	Total
LARGE PIROGUE	________	$250.00	+$9.50	________
MEDIUM PIROGUE	________	$175.00	+$7.50	________
LAKE SKIFF	________	$95.00	+$2.50	________
SMALL PIROGUE	________	$45.00	+$2.50	________
24" PADDLE	________	$20.00	+$2.50	________
12" PADDLE	________	$8.95	+$1.50	________
Personalized Gift Card Included Food Items may vary with Availability Mail, Phone, or FAX you order Shipping charges are additional			SUB-TOTAL	________
			LA Residents 8.5% TAX	________
			SHIPPING	________
			TOTAL	________

BILL TO:	SEND TO:
NAME:____________________________	NAME:____________________________
ADDRESS:_________________________	ADDRESS:_________________________
CITY/STATE:_______________________	CITY/STATE:_______________________
ZIP:_______________________________	ZIP:_______________________________

American Express	Visa	Master Card	Check
Name on Card:________________________		AUTHORIZATION CODE
Account Number:______________________
Exp. Date:____________________________