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Chris White

770 NW Don

Madras, OR 97741

MY QUILTS ORDER FORM

To order: Print and mail this form to the above address with payment. Please allow 6 to 8 weeks for delivery.

SHIP TO:

NAME: __________________________________________

ADDRESS: _______________________________________

CITY: ______________________STATE: ________ ZIP: ____________

E-MAIL ADDRESS: _______________________________________

Email address is for purposes of contacting you if there's a problem with the order

ITEM / DESCRIPTION

QTY

UNIT PRICE

TOTAL

Versatile Baby Quilt

 

$ 70.00

 

Broken Star Wall Hanging

 

$ 45.00

 

SUB - TOTAL

 

SHIPPING & HANDLING

 

TOTAL

 

 SHIPPING AND HANDLING

$ 0.00 to $ 9.99

$ 2.00

$ 10.00 to $ 49.99

$ 5.00

$ 50.00 to $ 99.99

$ 10.00

$ 100.00 to $ 199.99

$ 15.00

$ 200.00 and over

$ 20.00

Payment Methods: Money Order __ or Certified Check __

VERSATILE BABY QUILT FABRIC CHOICES

Non-Flannel Prints and Solids (write in, print and color choices)

Flannel Prints: (write in)

Flannel Solids: (choose two)

Light Yellow (shown) ___, Light Green (shown) ___, Lavender ___, Pink ___, Red ___,

White ___

With Buttons (shown) _____, Without Buttons _____

Machine Tied (shown) _____, Hand Tied _____

BROKEN STAR FABRIC CHOICES

Background Color ________________________________

Solid ____, Tone on Tone _______

Star Color (this will be 6 shades of one color) ______________

Quilting Thread Choices:

Variegated Metallic _______, Gold _____, Silver _______

Hanging Loops _____, Velcro Hanger _____

 If ordering more then one of each item, please list below or on back of form with your choices for each