QuiltSmiths v 8553 Macon Road v Cordova, TN 38018

Phone: 901-624-9985

Visit us on the World Wide Web: www.quiltsmiths.com

 

Ordered By:	Ship To:
Name:	Name:
Address:	Address:
City:                         State:	City:                         State:
Zip Code:	Zip Code:
Phone:	Phone:

 

Quantity	Item	Price per unit	Total Price

                    Sales Tax  9.25%                                    _____________

                    FedEx Shipping, add $5.25 per order       _____________

                    TOTAL:                                                  _____________

Credit Card number:

Expiration Date:

 Payment: We accept checks, money orders, and most credit cards.  (Visa, MasterCard, American Express, Discover).  Please give us your credit card number and expiration date on this form.   Please call 901-624-9985 if you have any questions.  If you prefer, you may fax your order to 901-624-9974.  E-mail: qltsmith@bellsouth.net.