Please send order and payment to:		Quilters Garden 527 South Main Street Princeton, IL 61356
	Please Print ORDERED BY: (If shipping address is different please note on order) Name: ________________________________________ Street: ________________________________________ City: ________________________________________ State: _______________________________ Zip Code:_____________________________ Phone: _____________________________ email: _______________________________ fax: _____________________________ ITEM:.............................................................................Price............................QTY............................TOTAL _______________________________............._______________..........___________.......___________________ _______________________________............._______________..........___________.......___________________ _______________________________............._______________..........___________.......___________________ _______________________________............._______________..........___________.......___________________ _______________________________............._______________..........___________.......___________________ _______________________________............._______________..........___________.......___________________ Subtotal ..............................___________________________ ___IL residents add............. ___6.25% sales tax..............___________________________ Shipping (see table below).___________________________ ................................Total...____________________________ US orders only please. All other orders will be returned. ............................Shipping & Handling Table................................ $0.00.........to..............$10.00.............S/H will be...............$1.50 $10.01.......to..............$30.00.............S/H will be...............$3.00 $30.01.......to..............$50.00.............S/H will be...............$4.50 $50.01.......to..............$70.00.............S/H will be...............$6.00 $70.01.......to..............$90.00.............S/H will be...............$7.50 $90.01.......to............$100.00.............S/H will be...............$9.00 $100.01.....to.......$10,000.00.............S/H will be................(call) Circle payment method (US Dollars only) CHECK..........MONEY ORDER..........VISA..........MASTER CARD..........DISCOVER Card Number:_________________________________ expiration _______________ Security Code # (last 3 digits on back of card)________________ Name on Card:________________________________ Signature:___________________________________ Orders paid by check will be held until check has cleared. Thanks for your order