Please print and  complete the form below and mail it to:

Amidon Quiltworks
12625 Danielson Court Suite 111
Poway Ca 92064

Name ________________________________Date __________

Address _____________________________________________

City ________________________ State ______ Zip _________

Phone/Day (____) _____________Eve. (____) _____________
Item Description Qty Price/ea Total
       
       
       
       
       

Merchandise Total

 

  

CA residents add 7.75% tax

    

Shipping, Handling Charges

Orders to $20.00 ....... add $5.00

$20.01 to $30.00 ....... add $5.50

$30.01 to $40.00 ....... add $6.00

$40.01 to $50.00 ....... add $6.75

$50.01 to $75.00 ....... add $8.75

$75.01 or more .......... add $9.75

Shipments outside the continental US, please include Mastercard/Visa number with expiration date. We will bill you for actual shipping charges.

Ship/Handling

Charges

 

 Shipping  
Please make check payable to: AMIDON QUILTWORKS   Total  

VISA or Mastercard number
expiration date: Mo/Yr

                                                          

Signature - required for Credit Card