MSQuilts Order form
Please print out and use this convenient order form.
|
Customer Information Name _____________________________________________________________________ Street _____________________________________________________________________ City __________________________ State______ Zip code __________________________ |
|
Ship To Information if different than above: Name _____________________________________________________________________ Street _____________________________________________________________________ City __________________________ State _____ Zip code __________________________
|
Your daytime phone number : (_________) ___________________________ e-mail: _________________________________
(in case we need more information about your order or its delivery)
Method of Payment:
Check or Money Order Enclosed in U.S. Funds for $ ________________________________________
Credit Card Account Number:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Expiration date:
|
/ |
Signature (required for credit card only) _____________________________________________
Your Order:
|
Item # |
Color/size |
Description of Item |
Quantity |
X Price per item |
Total |
|
*shipping charges: purchases up to $10.00…………………………………………………………………………………….$1.99 from 10.01 to 20.00………………………………………………………………………. 2.99 from 20.01 to 30.00………………………………………………………………………. 3.99 30.01 to 40.00…………………………………………………………………………….. 4.99 over 40.00 ………………………………………………………………………………... 5.99 Outside the U.S.: please include MasterCard, Visa or Discover number and expiration date. We will bill you for the actual shipping charge plus the amount shown above. |
Total purchases |
|
|
Shipping * |
||
|
5% tax ME. only |
||
|
Amount due |
© Thank You for Your Order ©
McKown Square Quilts, 14 Boothbay House Hill Rd., Boothbay Harbor, ME 04538
Maine: (207) 633-2007 toll free: 1-877-607-5724 fax: (207 )633-1174