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Pioneer Sales Order |
We thank you for you shopping with Pioneer Sales. To complete your personalized online shopping experience, please fill out the form below. Next, submit it over the internet by hitting order below or print it and either mail it to Pioneer Sales Company, Inc., or fax it to 504-469-9925. Soon after we receive your order, PSC will contact you, confirming your order and giving you the total. We recommend that you print your order form for your own personal record. Please shop again!
PLEASE TYPE THE FOLLOWING INFORMATION ABOUT THE PRODUCTS YOU WANT TO PURCHASE:
| Product Number |
Quantity |
Color |
Description |
Unit price |
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Subtotal: |
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Shipping and Handling: |
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Total: |
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* Shipping Charges are not included. We will email you the shipping charges.*
Ship To:
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Name |
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| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Country | |
| Work Phone | |
| Home Phone | |
| FAX | |
Payment Information:
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Payment Type |
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| Cardholder Name | |
| Card Number | |
| Expiration Date | |
| if printing form> Signature |
Additional Comments
Return to Pioneer Sales Main Page
Pioneer
Sales Company, Inc.
510 Carmenere Drive
Kenner, Louisiana 70065
504-469-1396 Fax: 504-469-9925