CLOVER SHOP ORDER FORM

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Print order form and send, with check or money order to:


Gail Slinde
Clover Shop
Ward County Extension Service
Courthouse, Room 101, Box 5005
Minot, ND 58702-5005
Phone: 701-857-6450
Fax: 701-857-6454
Krista Littlefield
Clover Shop
Box 40
Stanley, ND 58784-0040
Phone: 701-628-2735
Fax: 701-628-1676

Ordered By

Name: ___________________________________________________________________

Address: _________________________________________________________________

City, State, Zip:  ___________________________________________________________

Daytime Phone:_______________________   County: _____________________________

 

Method of Payment: Check or money order payable to Clover Shop.


Qty. Item # Description Size Color Price Each Total Price
                                                                                                                  
                                                   
                                                   
                                                   
                                                   
                                              
Shipping & Handling
(Prices include taxes.) 
$0 - $14.99:  $4.60
$15.00 - $24.99:  $5.70
$25.00 - $39.99:  $6.85
$40.00 - $54.99:  $7.75
$55.00 - $69.99:  $8.85
$70.00 and over:  $10.35
Sub Total    
Shipping/Handling  
Total Enclosed  

 

 

 

 

 

 

 

 

Questions? Call 701-857-6450, or click here to email.

Click here for item descriptions.

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