Lone Pine Quilting and Design
Fax to: (760) 876-5473

U.S. Postal Mailing address

Lone Pine Quilting and Designs

PO Box 688

Lone Pine, Ca 93545 U.S.A

Shop address

Aibonito

120 N Main

Lone Pine, CA 93545 U. S.A

* [Name]____________________________

* [Company Name]_______________________

* [Street Address]_______________________

* [City, ST ZIP Code]_____________________

* [Phone]__________________________

Email__________________________

* [Name]___________________________________

* [Company Name]_________________________

* [Street Address]__________________________

* [City, ST ZIP Code]________________________

* [Phone]___________________________________

Email________________________________

QTY	UNIT	DESCRIPTION		UNIT PRICE	TOTAL







Please Ship by: (For CD Orders add $5 for disk plus Shipping below) q U.S. Priority Mail (add $3.95)within the U.S. q U. S. Express mail (add $15.00)within the U.S. q UPS Second Day (add $25.00) within the U.S. q Federal Express Second Day (add $25.00) within the U.S. q By Email:_______________			SUBTOTAL
			(California Residents) SALES TAX
			SHIPPING & HANDLING
			CD Orders only add $5
			TOTAL (U.S. Currency)

1. Please send a copy of your invoice with payment.

2. Enter this order in accordance with the prices, terms, delivery method, and specifications listed above.

3. Please specify Order desired: by Email or CD Disk

4. Send all correspondence to:
Joy Franson
Lone Pine Quilting and Designs
PO Box 688
Lone Pine, CA 93545
Sales@LonePineQuling.com
Fax (760) 876-5473

Type of Card: Visa, M/C or check
Check No.______________

Card No._______________________________

Name as it appears on card:

Bill address (If different from Shipping) on card:

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