QuiltSpot.com

106 Bridge St.
Arroyo Grande, CA 93420-3310
(805) 474-0717
www.quiltspot.com

Mail-In Order Form (print-out this page on your computer)

Name_____________________________
Address__________________________
City___________________ State____
Zip___________________
Phone(_____)_____________________
Email____________________________
Ship to: (if different)
Name_____________________________
Address__________________________
City___________________ State____
Zip___________________
Item # Product Name Quan. Price Total
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Goods Total

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Shipping (Please refer to Shipping Charges)

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Sub Total

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Tax (Please add 8.75% sales tax to all orders shipped to CA)

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Order Total

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Method of payment:
Check or Money order___ (please make payable to "The Quilt Attic")
MasterCard___    Visa___    American Express___    Discover___
Card#____________________________ Expiration Month/Year_____/_____

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