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ORDER FORM
Print this form, fill it out and mail check or money order to:
Cloud Nine Enterprises - P.O. Box 17 - Dyer, Indiana 46311
SORRY!  We cannot accept credit cards at this time.

To contact Sue, if needed:
PHONE 219-865-6530   FAX 219-865-9019
E-MAIL   quiltpox@jorsm.com

How Many

Description

Amount

1

#CN-1000 Pattern                         $12  

2

#CN-1000 Patterns                        $23  

3

#CN-1000 Patterns                        $33  

4

#CN-1000 Patterns                        $40  

1

#CN-1000-RP  Refill                      $5  

2

#CN-1000-RP  Refills                    $9.50  

3

#CN-1000-RP  Refills                    $12  

5

#CN-1000-RP  Refills                    $15  
     

                                                                                                            Subtotal______________

Shipping on first piece_______2.00____

Shipping on each additional piece (50 cents each)______________

Subtotal______________

Indiana residents add 5% sales tax______________

                                               TOTAL______________

                                              Check or Money Order #_____________

       

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