Lox-In-A-Box Order Form

# Order Form

Use this form or order Lox-In-A-Box products. Remember, all our salmon is shipped overnight for FREE to ensure freshness!

Name: Phone: E-mail address:

Billing and Shipping Addresses:
Enter your billing address here.
Enter your shipping address here.

Products to Order:

Weight | Item | Cost
--- | --- | ---
1lb | Sample: Sliced smoked salmon | $5
| Total Cost: |

Method of Payment:

Credit Card or Check Number::