| First & Last Name: |
| Address: |
| Phone |
| Payment type: |
| Description (name, color & size) |
| Qty |
| Price |
| Shipping Charges flat fee $2.50 U.S.A. ONLY |
| Total order amount plus shipping & handling |
| City, State & zip |
| Country Grace Quilts and things |
| Order Form |
| Shipping Information & Address: |
| Street Address: |
| Name: |
| Allow 2 to 4 wks for delivery. No shipments outside the U.S. Must use street address no p.o. box. |
| Country Grace Quilts and things 3411 -170th Ave E Sumner, WA 98390 |
| Print order form & mail with your payment to : |
| Item # |
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| City, State & Zip |
| No Credit Cards |
| Questions email me at |
