QUILTERS QUARTERS MANUAL ORDER FORM
Please print this page and mail to the address below. (Note - It should print as more than one page.
If you experience problems printing the form, click here for some hints.) 
Or call us at (913) 651-6510
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:	Member #____

	Item #	Color	Quantity	Price Each	Total
1.)				$	$
Description:
2.)				$	$
Description:
3.)				$	$
Description:
4.)				$	$
Description:
5.)				$	$
Description
For additional items, please list on a separate page

Domestic Shipping & Handling Fees: We ship Priority Mail on merchandise weighing under 1 pound. We will use either UPS or USPS for other items. We will quarantee shipment within the continental United States, but cannot provide the same guarantee internationally.  Purchases up to $49.99 $6.50 $50.00 to $99.99 $8.50 $100 and over $12.00 Exceptions:  Ulmer frames and Handiquilters are billed at the exact UPS charge to your address, including insurance for the value (usually no more than $16). International Shipping & Handling Fees: We ship Priority Mail on merchandise weighing under 1 pound. We will use either UPS or USPS for other items. We will quarantee shipment within the continental United States, but cannot provide the same guarantee internationally.	Subtotal:	$
	Shipping & Handling*	$
	Order Total:	$
	Int'l please specify shipping method:
	Notes:
	Thanks for shopping with us!

To place your order: Call: Fax: or Mail to: The Quilter's Quarters, Inc. 200 S 5th Street Leavenworth, KS  66048 Phone: 913-651-6510   Web: http://www.quiltersqtrs.com  E-mail: http://www.quiltersqtrs.com/contact_quilters_quarters.asp

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