| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Retail Order Form Please Print Neatly Name__________________________________________________________________________________ Address_______________________________________________Telephone________________________ City_____________________________State__________Zip_____________Country__________________ E-mail_________________________________________________________________________________ Rest assure that your personal information will be kept strictly confidential. |
| ______Check or money order (US funds only) Order will be held until funds clear ______Credit Card Order will ship next day _____Mastercard _____VISA _____Discover _____American Express Credit Card Number______________________________________________________________________ Expiration Date___________ Signature______________________________________________________ |
| Print out form and mail to: Twin Turtle Quilts Attn: Teresa 5541 E. Creek Rd. Beloit, Wisconsin 53511 U.S.A |