Kaleidoscope Quilting Order Form
W6694 Ramsdell Road, Spooner, WI 54801
(715) 635-9138 suezieke@chibardun.net

Because all items are hand-made and may not be in stock, please allow 4-6 weeks.
You may print out this order form and mail it with your check or bankcard number, or phone or fax your order to the above phone number. I hope to have an on-line order form here soon.

Ordered by:	Send to:
Address__________________________	Address____________________________
City ____________________________	City _______________________________
State__________Zip_______________	State__________Zip__________________
Phone ___________________________	Phone ______________________________
Email ___________________________	Email_______________________________

How many?	Description of Item	choice of fabric pattern	Price each	Total
Total for merchandise
WI residents add 5½% sales tax
Shipping and handling costs are included
Total enclosed

Checks, Money Orders, MasterCard and Visa are welcome.