Shadow Ridge

77 Oxford Rd

Peachland, NC 28133

Phone 704-272-7110   Toll Free: 888-382-4037   Fax: 888-382-4037

Sold to: (Street address, not P.O. Box,
required for UPS delivery only)

Name:

Address:



City/State/Zip:		 _______________________

_______________________

_______________________

_______________________

Ship to: (if different from Sold To address)

Name:

Address

City/State/Zip:

 _______________________

_______________________

_______________________

_______________________

Is delivery address a business or a residence?

Date: __________________________

If we need to call you about your order:
Day Phone No. (      ) ___________________ Evening Phone No. (      ) ____________________


 

 Quantity

 Product#

 Name of Item

 Price Each

  Total (Price x Quantity)
 1          
 2          
 3          
 4          
 5          
 6          
 7          

Mail:
Shadow Ridge

77 Oxford Road

Peachland, NC 28133

 

Phone: 704-272-7110 

Email: info@shadowridgedonkeys.com

Payment:  We accept VISA, Master Charge, Discover, American Express. Check or Money Order. Please make checks payable to : Shadow Ridge

 Product Total

  Shipping  To find your shipping charges, add your items to the shopping cart on www.shadowridgedonkeys.com and your shipping costs will be on that page. 

There is no need to continue to the Pay Pal checkout.

  

 Subtotal

  

North Carolina Sales Tax

(NC delivery addresses only) add 6.75%

  
 Total Order  

 If paying by check or money order, just print the first page if you like.



 

 

 

 

 

 

 


To Pay by Credit Card please provide the information below.

Billing Information - Please enter the following information exactly as it appears on the customer's credit card statement.

First Name:

 

Last Name:

   Card Type:

or Circle Card Type:  VISA,  Master Charge,  Discover,  American Express.

   Card Number:

 

 Expiration Date:

  or Write in: Month:______Year:_______

Card Security Code: Required

 

NOTE: For Visa, MasterCard, and Discover, this three-digit number is printed on the back of the card after the card number.

 

Billing Address:

Address Line 1:

Address Line 2:

City:

State:

______________

ZIP Code:

In Case We need to Contact you: Email Address or Phone:

Shipping Address: Only If different from Billing Address

First Name:

 

Last Name:

Address Line 1:

 

Address Line 2:

 

City:

State:

_______

ZIP Code:

Thank you for your order! Cheryl and Chris.   Email: corlowski@alltel.net