PATTERN ORDER FORM

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FILL OUT AND  MAIL IT TO THE ADDRESS ON THE BOTTOM OF THE FORM.     

       QTY          PAT #               DESCRIPTION                                      PRICE         TOTAL

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SALES TAX ( IDAHO RESIDENTS ONLY) 6%__ _______             

SHIPPING ( 50 CENTS EACH PATTERN, MIN $2.00 )_________             

NO RETURNS ON PATTERNS                                 TOTAL____________            

NAME____________________________________      PHONE___________________

ADDRESS_____________________________________________( NO PO BOXES)

CITY______________________________STATE_________ZIP__________________       

                                       CHECK #_________  VISA   MC

CREDIT CARD #________________________________________EXP________CVV#____

SIGNATURE____________________________________________ DATE__________

   EASY QUILTER       

1720 Falcon Circle So     Pocatello,  ID  83204-7413

-OR CALL TO ORDER-    918-260-7194     918-260-7615