Quilt Closet Mail Order Form
TO ORDER:
Please print the
following form, fill out and mail with your check, money order,
or credit card information payable to:
Penny
Durnin
1793 Ruie Road
North Tonawanda, NY
14120
Phone ((716) 694-6019
| BILLING ADDRESS: | SHIPPING ADDRESS: |
| Name: | Name: |
| Address: | Address: |
| City | City |
| State / Zip: | State / Zip: |
| Telephone #: | Telephone #: |
| Item # | Description | Qty. | Price | Total |
| All orders shipped via USPS | Sub Total | |
| NYS residents must include sales tax at rate for the County where the items are being shipped. | Tax | |
| Total |
| M/C ___ Visa ___ | Expiration Mo/Yr. _____/_____ | Security (CVC) #: _______ |
| Account #: ________-________-________-________ | ||
| Signature :______________________________________________________________ | ||
-------------------------------------------------------------------------------------------------------------------------
After printing press your back button to return to the previous page or use the links below to go to a specific page
Home | Baby Gifts | Draftstoppers | Seeds | Table Runners | Toilet Toppers