Shopping Cart form for persons EMAILING their donation ONLY
Number of cases ITEM Cans Per Case Case Price Beef Chili with Beans (12) 20 oz each $9.50 Beef Stew (12) 20 oz each $9.50 Chicken Noodle Soup (24) 10oz each $9.50 Macaroni and Cheese (24) 7.25oz each $6.00 Peanut Butter & Jelly (12) 18oz each $13.00 Pinto Beans (24) 1lb each $13.00 Rice (24) 1lb each $8.00 Tomato Soup (24) 15oz each $8.00 Mixed Fruit (24) 15oz each $15.00 Vegetable Soup (24) 10 oz each $9.00 Corn (24) 15oz each $8.00 Green Beans (24) 15oz each $8.00 Total # of case you are donating: Total amount of donated goods:
Number of cases
ITEM
Cans Per Case
Case Price
Beef Chili with Beans
(12) 20 oz each
$9.50
Beef Stew
Chicken Noodle Soup
(24) 10oz each
Macaroni and Cheese
(24) 7.25oz each
$6.00
Peanut Butter & Jelly
(12) 18oz each
$13.00
Pinto Beans
(24) 1lb each
Rice
$8.00
Tomato Soup
(24) 15oz each
Mixed Fruit
$15.00
Vegetable Soup
Green Beans
Total # of case you are donating:
Total amount of donated goods:
If this contribution is in honor or memory of someone, please indicate their name and address (where applicable) in the box below for special acknowledgement.
Your FULL name
ADDRESS (Including City, State and ZIP)
Your Credit Card Type: (Check one) MasterCard VISA
Card Number:
Expiration Date (example 01/2005):
For your protection, we require that you enter the "CVV" number from your credit card. VISA/MasterCard holders will find the three digit CVV code printed on the signature panel on the back of the card immediately after the card's account number. Note that this is not an embossed code, it is actually printed on the card.
CVV #
By clicking "submit", I authorize Mississippi Food Network to charge my card for the amount indicated above. I understand that this is a one-time charge for my donation to the Mississippi Food Network.