Quilt Magic
10182N Sunrise Road
Hayward, WI 54843
Fax (715) 634-5240

Order Form
Date: ______________
Customer: ___________________________________________________________________
Address: ____________________________________________________________________
City: __________________________      State/Province: ________________________
Phone: ________________________      Zip Code/Postal: _______________________
    
Please print clearly if we can't read your writing, we can't process your order.
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Quantity Item# Description Price
Each Total
         
         
         
         
         
         
         
         
         
         
         
         
         
         
Shipping & Handling

$8.49 (U.S.)
$21.22 (Can)
 
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Sub-Total 
Wisconsin Residents 5.5% Sales Tax 
 
VISA/Mastercard Expiry Date: ____________ Total 
                               

   Cardholder's Signature: ___________________________________________
    

Sorry NO CODs
We do accept personal checks...