Patchpieces: Orderform

MAIL-IN ORDER FORM**

Secure Online Ordering
Wholesale Information

Date_____________________

Name_______________________________________

Address_____________________________________

___________________________________________

City___________________________State__________

Zip Code____________Phone#____________________

E-mail_______________________________________

**Mail-in form for U.S. orders only

Print and mail ORDER FORM to:
Patti R. Anderson
Attention: patchpieces order
PO Box 67 (304 N Main St)
Franklin, WV 26807

PLEASE PRINT CLEARLY

Personal or cashier's checks and money orders accepted.
Make checks payable to: Patchpieces

PATTERN	PRICE	QUANTITY	TOTAL
#103-FPP / Housing Developments I	$7.50	x	$
#102-FPP / I Love My 221	$8.50	x	$
#101-FPP / Spring Paper Piecing Sampler	$6.00	x	$
#201-FDN / Strip Mine!	$7.00	x	$
#000-ALL / Order all 4 patterns! You save $5.00!	$24.00	........	$
Shipping Costs: 1 - 4 patterns $1.50 5 - 9 patterns $3.00 10 or more $5.00 West Virginia residents please add 6% sales tax *Thank you for your Order!*	Subtotal		$
	Shipping		$
	WV residents add 6%		$
	TOTAL		$

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