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Date ___/___/2008
Name __________________________________
Address ________________________________
_______________________________________
City _____________________ State _________
Zip _______-______ Phone (_____) ____-______
Email __________________________________
Print and Mail this form to:

Quiltaholics
c/o Deb Kauffunger
121 Leland Farm Rd
Ashland, MA 01721

Checks in U.S Funds only.
Make Checks payable to: Quiltaholics

Item ID Description/Name Price Qty Total
Regular Patterns
RP-0002* 'Tis the Season - Sale $3.00
$
RP-0003* Southwest Whatever - Sale $4.00
$
RP-0004 Which Star? - Sale $4.00
$
RP-0201 Duo for the Wall - Sale $4.00
$
RP-0202* Shadows - Sale $4.00
$
RP-0203* Directions - Sale $4.00
$
RP-0204* Noise - Sale $4.00
$
Mystery Patterns
MM-0301 Mini Mystery #1 - Sale $1.00
$
MP-9801 Forever Spring $8.00
$
MP-9803 Open and Closed $10.00
$
MP-0001 Cool Down $10.00
$
MP-0204 Lacy 8 $10.00
$
MP-9802 Omaha Connection $10.00
$
MP-9804* 'Tis the Season $8.00
$
MP-9901 Stained Glass...Fooled Ya! $10.00
$
MP-9902* WW#1 - Southwest Whatever $10.00
$
MP-0002 WW#2 - Bubbles $10.00
$
MP-0003 WW#3 - CrissCross $10.00
$
MP-0101* WW#4 - Shadows $10.00
$
MP-0201* WW#5 - Noise $10.00
$
MP-0202* WW#6 - Directions $10.00
$
MP-0203 WW#7 - Kitty Kitty $10.00
$
MP-0301 WW#8 - Forever Around the World $10.00
$
MP-0302 WW#9 - Spinning $10.00
$
MP-0303 WW#10 - Positively Negative $10.00
$
MP-0401 WW#11 - Pointed Aggravation $10.00
$
MP-0402 WW#12 - Tradition $10.00
$
MP-0403 WW#13 - Stars Above $10.00
$
MP-0502 WW#15 - Across the Nation $10.00
$
MP-0503 WW#16 - Stash Basics $10.00
$
Shipping Costs:
Item Amt US, Military Canada, Overseas
1 $1.50 $2.50
2-3 $2.50 $3.50
4-6 $4.00 $5.00
7+ $6.50 $8.00
Shipping is free on all orders totaling $100.00 or more.
Bounced Checks will be subject to a $15 Fee.
Subtotal $
Shipping $
MA residents add 5% $
Total $
Thank you for your order!