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Page 1: South Dakota Bureau of Administration State Flag · PDF fileUnited States & South Dakota Flags. South Dakota Bureau of Administration State Flag Account 1320 E. Sioux Avenue - Pierre,

United States & South Dakota Flags South Dakota Bureau of Administration State Flag Account

1320 E. Sioux Avenue - Pierre, South Dakota 57501 Phone: 605.773.4935 - Fax: 605.773.3837

Ship To: Name Phone

Company Email

Address Date

City State Zip Code Invoice #:

South Dakota State Flags Size Description Quantity Each Total

Subtotal - South Dakota Flags

United States Flags Size Description Quantity Each Total

Subtotal - United States Flags

Page 2: South Dakota Bureau of Administration State Flag · PDF fileUnited States & South Dakota Flags. South Dakota Bureau of Administration State Flag Account 1320 E. Sioux Avenue - Pierre,

Amount Paid:

Date Received:

Date Filled:

POW-MIA Flags Size Description Quantity Each Total

Subtotal - POW-MIA Flags

Miscellaneous Items*

Quantity Each Total

Subtotal - Miscellaneous Items

Shipping Costs

$4.50 for the first flag ordered plus $0.50 for each additional flag

3'x5' or larger. Tax will be applied to subtotal and shipping charges.

* Please call for shipping charges on all miscellaneous items.

All orders must include a street address to avoid additional shipping charges. Tax Exempt Entities:

Please pay amount in line C above

Payment

Please make checks or money orders payable to State Flag Account. Please print order and submit with payment. Orders will not be processed until payment has been received or other payment arrangements have been made.

To pay by Mastercard or Visa, please call 605.773.4935.

Please send orders to: State Flag Account 1320 E. Sioux Avenue Pierre, SD 57501

Scan and Submit by email to: [email protected]

You may also use the "Send Electronically" button below.

This form is not secure. Please be sure to close your browser once you have submitted your form.

Notes or State Agencies: MSA No. Please provide your MSA Billing Code.

Prices are subject to change without notice. Price list effective July 2017.Thank you for your order!

Internal Use Only


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