ORDER FORM -- Kanesville Quilting

Please print out this form and mail to address below. For credit card orders, call toll-free 1-877-294-1009.

Name ________________________________________________________

Address  _____________________________________________________

City _________________________   State  ______  Zip Code __________

E-mail ________________________________________________________

  Item

 Unit Price

  Qty   Total

 		      

 		      

 

 

 

 		      

 		        

 		        
Merchandise Total      
Shipping & Handling        
 Iowa residents add sales tax      
    TOTAL      

SHIPPING:  United States only

Patterns only:  
  First pattern $1.50
  Each additional pattern $  .50
Other items  
  $0-$20 $4.00
  $20.01-$40 $5.00
  $40.01-$60 $6.00
  over $60 10% of order