Nette's Quilt Fabrics ... From Home

Please print this form out with your completed order and include a copy of it with your personal check, money order, or Cashier's Check to ensure your order is shipped accordingly. For security reasons, all orders paying by credit card, but not using Paypal payment method, will need to fax a copy of their order with the credit card number, cardmember signature, and billing Zip Code for processing (this option will be available in August 2009). Until then credit card payments can be accepted through PayPal only. An invoice will be emailed to you that will include your total, including shipping.

Name:

Guild:

Shipping Address:

Guild Order

  Personal Order

Telephone:

(

)

Payment Method:

(Please circle one)

VISA/Mstcd

MO/Cashier Check

PayPal

Check

Cardholder Signature

E-mail Address:

Credit Card Number

Security #

(Please be assured your e-mail address will NOT be sold or distributed in any way.)

Billing Zip Code:

Qty: (Yds)

Qty: (Yds)

Item #:

Item #:

If you have more items on your list than space available, please make a copy and continue with your selections.