Mail Order Form
We accept payment for mail-in orders by check or money order. Shipment will be made after check has cleared.
Make Checks Payable To: Quilt Patch of Maine, 647 Bingo Road, Waite, ME 04492
| Order | Name of Quilt | Size | Price | Total |
|---|---|---|---|---|
| Ring Around the Posie | 84 x 84 | $675 + $25 shipping | _________ | |
| Earth Star | 86 x 98 | $950 + $25 shipping | _________ | |
| Birds on the Fly | 84 x 104 | $625 + $25 shipping | _________ | |
| Country Sunshine and Shadow | 81 x 98 | $275 + $25 shipping | _________ | |
| Roses in the Sunshine | 83 x 98 | $750 + $25 shipping | _________ | |
| Pickle Dish on the Sweet Side | 92 x 92 | $575 + $25 shipping | _________ | |
| Jacob's Ladder | 76 x 94 | $425 + $25 shipping | _________ | |
| Links and Stars (dble-sided) | 76 x 94 | $525 + $25 shipping | _________ | |
| Scrappy Red | 81 x 96 | $900 + $25 shipping | _________ | |
| Monkey Wrench | 84 x 95 | $350 + $25 shipping | _________ | |
| Stars Surrounded | 54 x 72 | $285 + $15 shipping | _________ | |
| Amish Sunshine and Shadow | 53 x 53 | $185 + $15 shipping | _________ | |
| Evening Stars and Moon | 65 x 91 | $475 + $15 shipping | _________ | |
| Hidden Wells | 44 x 44 | $175 + $15 shipping | _________ | |
| Bow Ties and Stars | 49 x 61 | $225 + $15 shipping | _________ | |
| Stars and Stripes Forever | 52 x 68 | $225 + $15 shipping | _________ | |
| Sunshine and Shadow | 60 x 60 | $165 + $15 shipping | _________ | |
| Dear to my Heart | 39 x 39 | $90 + $15 shipping | _________ | |
| Merchandise Total | _________ | |||
| Sales Tax - Maine residents only - add 5% of Merchandise Total | _________ | |||
| Shipping Total - Shipping rate for each quilt as indicated above. | _________ | |||
| ORDER GRAND TOTAL | _________ | |||
| BILLING INFORMATION | SHIPPING INFORMATION | ||
|---|---|---|---|
| Name: | ____________________________ | Name: | ____________________________ |
| Mailing Address: | ____________________________ | Delivery Address: | ____________________________ |
| ____________________________ | ____________________________ | ||
| City: | ____________________________ | City: | ____________________________ |
| State: | ____________________________ | State: | ____________________________ |
| Zip Code: | ____________________________ | Zip Code: | ____________________________ |
| Phone Number: | ____________________________ | Phone Number: | ____________________________ |
| www.quiltpatchofmaine.com | |||