PRINT THIS ORDER FORM AND MAIL WITH PAYMENT TO:

The Quilted Basket
2199 CR 3150
Cookville, Tx   75558
Phone #: 903-577-9327
Phone
Email: bettybhall@hughes.net


CUSTOMER INFORMATION ~ Please Print Clearly ~
Customer Name
Address
City State Zip
Email Address
Daytime Phone Number
Item# Qty Description Price Totals
         
         
         
         
         
         
         
Subtotal    
Shipping    
Texas residents add 6.75% sales tax     
TOTAL  AMOUNT  DUE   
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