Pioneer Heritage Shoppe

Division of Friesen Country Shops
Preserving Our Heritage

 

301 Merl St.
PO Box 68
Fairdale, ND 58229-0068

Phone 701-966-2250  Office Hours: M-F 10-4 CST

SALES ORDER

Invoice #_______

Order Date: _________

 

Sold To:

Name:

Company Name:

Billing Address:

City, State, Postal Code:

Phone:
Email Address: ___________________________

Ship To:

Name:

Company Name:

Address:

City, State, Postal Code:

Phone:

 

SHIPPED VIA

 

TERMS

 

 

PAYMENT DUE WITH ORDER REQUEST
PRIOR AUTHORIZATION REQUIRED
CALL FOR ORDER TOTAL BEFORE MAILING
Submission of this order denotes agreement to all our terms of service and return policies

 

 

 

 

 

 

 

 

Comments or special instructions:

 

 

QUANTITY

DESCRIPTION

UNIT PRICE

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL

 

 

 

               sALES tAX 5.25%
              
nd RESIDENTS oNLY

 

 

SHIPPING & HANDLING

cALL fOR TOTAL bEFORE mAILING

 

TOTAL duE
cERTIFIED CHECK
PAYMENT IN FULL ONLY

 

 

Make all checks payable to Pioneer Heritage Shoppe and mail to the address above Attn: Order Department.

All orders paid by any check will be held until verification of funds has been made. If you are submitting a custom
order we will only start your custom request after funds have been cleared.  We strongly advise paying with your
credit/debit card online or by telephone to expedite your order.

If you have any questions concerning this order, contact us.

 

Thank you for your business!