MANUAL ORDER FORM
Please print this page
(Note - It should print as more than one
page. The background will not print. If you experience
problems printing the form,
click here
for
some hints.)
and fax or mail to the address below.
Or call us at
206-878-9414
Note: If
you would like to place your order online through our secure store,
click
here for instructions,
place items in your cart and then follow the links to check
out.
| Name: | Date: |
| Street Address: | |
| PO Box: | |
| City: | State: |
| Country: | Zip: |
| Daytime Telephone: ( ) | |
| E-mail: | |
| Payment Method: __ Check __ Money Order __ Visa __ MasterCard | |
| Card # | Exp. Date: ___ /___ |
| Signature: | |
| Item # | Color | Quantity | Price Each | Total | |
| 1.) | $ | $ | |||
| Description: | |||||
| 2.) | $ | $ | |||
| Description: | |||||
| 3.) | $ | $ | |||
| Description: | |||||
| 4.) | $ | $ | |||
| Description: | |||||
| 5.) | $ | $ | |||
| Description | |||||
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For additional items, please list on a separate page |
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*Shipments within the USA |
Subtotal: |
$ |
| Purchases under | ||
| Purchases | $ | |
| Purchases |
+ __% tax for ______ residents only |
$ |
| Purchases over |
|
*Shipments outside the USA |
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All shipments include guaranteed delivery! |
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Fabric Clubs |
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Please refer to our web site www.carriagecountryquilts.com for color photos and details. Please put your Visa/MasterCard information above. Shipments are made the first week of the month. You will be billed on your Visa or Mastercard when shipment is made. |
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Fabric Clubs: |
|
Dear Jane |
Home Sweet Home |
| Garden
Gatherings |
Jo's
Little Women |
| Girl
Gang |
Thimbleberries |
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Please note: If you experience any problems with our site, please call or e-mail info@carriagecountryquilts.com
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