Quilt Patch of Maine
Phone: 207-796-5169
Email: avis@quiltpatchofmaine.com

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
Last updated October 01, 2006 ~ © Copyright 2005-2007 Avis Lyko ~ Quilt Patch of Maine ~ website by Barnstormer Design Group