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Order Form (Please Print) |
The Hometown Quilter 1100 N. Gale Rd. * Davison MI 48423 810-287-8816 thehometownquilter@charter.net |
| Mailing Address: | |
| Name: | |
| Address: Apt: | |
| City: State: Zip: | |
| Phone: Email: | |
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Payment Method:
(Check One) US DOLLARS ONLY |
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___ Money Order ___ Credit Card |
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| Card Number: | _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ | Exp. Date: |
| Name on Card: | Last 3 #s on back of card _ _ _ *required | |
| Item Description | Price | Qty | Amount |
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Total |
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Domestic ONLY Shipping & Handling (see chart on Order Page) |
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Sub Total |
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Michigan residents add 6% sales tax |
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Total |
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NO INTERNATIONAL MAIL ORDERS