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Barnyard Quilting PO Box 252, 894 VT Rt 113 West Fairlee, VT 05083-0252
Printable Quilting Order Form |
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| Name: | ||||||
| Home Phone: | Work Phone: | |||||
| E-mail address: | ||||||
| Shipping Address: | Billing Address if Different: | |||||
| Street: | Street: | |||||
| City: | City: | |||||
| State: | Zip: | State: | Zip: | |||
| Your Quilt Size: | TOP: " X " | Backing: | " X " | |||
| Thread color Choice: | ||||||
| Quilting Pattern Choice: | ||||||
| Batting Choice: | ||||||
| Charges: | ||||||
| Machine Quilting: | SQ. IN. X Rate: | $ | ||||
| Batting: | # of YD. X Rate: | $ | ||||
| Serging Edges: | LIN. IN. X Rate: | $ | ||||
| Binding: | LIN. IN. X Rate: | $ | ||||
| Ironing of Top, $10.00, if Applicable: | $ | |||||
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Subtotal |
$ | |||||
| Return Shipping if Applicable: | $ | |||||
| A fee of $15.00 covers shipping and insurance($200 value for finished quilts). Additional insurance may be purchased. | $ | |||||
| Total charges: | $ | |||||
| Method of Payment: | ||||||
| Cash: Y___ N___ | ||||||
| Check: Y___ N___ | ||||||
| Visa: Y___ N___ Mastercard: Y___ N___ | ||||||
| Account Number: | _ _ _ _ /_ _ _ _ /_ _ _ _ /_ _ _ _ / | |||||
| Expiration Date: | / / | |||||
| Signature: | ||||||