Suzanne's Quilt Shop
MANUAL ORDER FORM
Please print this page and mail to the address below.

Note: It should print as more than one page. 
If you experience problems printing the form, click here for some hints. 
Note: If you would like to place your order online through our secure store, 
Click here for instructions, place items in your cart and then follow the links to check out.

Name:	Date:
Street Address:
PO Box:
City:	State:
Country:	Zip:
Daytime Telephone: (           )
E-mail:
Payment Method: Check  Money Order  Visa  MasterCard Discover AMX
Card #	Exp. Date: ___ /___
Signature:	Member #____

	Item #	Color	Quantity	Price Each	Total
1.)				$	$
Description:
2.)				$	$
Description:
3.)				$	$
Description:
4.)				$	$
Description:
5.)				$	$
Description
For additional items, please list on a separate page

Orders are generally shipped by USPS or UPS - Please indicate any special instructions below: Notes:	Subtotal:	$
	Sales Tax  Georgia Residents Only 7%	$
	Shipping & Handling *Domestic  USPS	$
	Shipping & Handling *Intl USPS	$
	Shipping & Handling *UPS	$
	Order Total:	$
USPS Domestic Shipping & Handling Fees Note: Shipping charges are estimates. Actual shipping charges are based on weight, zone and insurance value. A receipt will accompany package showing actual shipping charges. Estimates given below. Purchases up to 30.00 $ 5.00 30.01 to 40.00 $ 5.50 40.01 to 50.00 $ 6.00 50.01 to 60.00 $ 6.50 60.01 to 70.00 $ 7.50 70.01 to 80.00 $ 8.50 80.01 to 100.00 $ 10.50 100.01 to 150.00 $ 12.50 150.01 to 200.00 $ 15.00 200.01 and up $20.00 Orders are shipped by USPS	UPS Domestic Shipping & Handling Fees  Note: Shipping charges are estimates. Actual shipping charges are based on weight, zone and insurance value. A receipt will accompany package showing actual shipping charges. Purchases up to 50.00 $9.00 Over 50.00 Actual Shipping cost will be added to your invoice Orders are shipped by UPS USPS International Shipping & Handling Fees Note: Shipping charges are estimates. Actual shipping charges are based on weight, zone and insurance value. A receipt will accompany package showing actual shipping charges. Flat Rate Envelope $11.00 ($9.00 Canada & Mexico Flat Rate Box $37.00 ($25.00 Canada & Mexico Orders are shipped by USPS

To place your order:  Mail to: 9 First Street S.E., Moultrie, GA. 31768 Phone In: 229-616-1013  Fax In: 229-616-1014 Thanks for shopping with us!

Printing Hints: Some printers may have difficulty printing both pages of this form. If you are having problems printing the second page, select Print from the File Menu in your browser window, and then under Print Range, select pages 2 to 2. If you are still having difficulties feel free to call or email us at the numbers listed.

Please note: If you experience any problems with our site, 
please call 229-616-1013 or e-mail us