To order, print and complete this form and mail it to the address below.
Please Contact Kathie Alyce direct at Waterfall Quilts for Wholesale Orders.
Waterfall Quilts
Kathie Alyce
550 Nasmith Brook Rd., Plainfield, VT 05667
 (802) 426-3384
www.waterfallquilts.com - alyce@waterfallquilts.com
DON'T YOU NEED A PATTERN TO GO WITH YOUR TEMPLATE?
Retail Order Form  
Name________________________________ Tel.______________________
Address______________________________  
City_________________________________ State_____    Zip___________
Shipping Address (if different)________________________________________
Signature_____________________________ E-mail____________________

ITEM #

DESCRIPTION

QUANTITY

PRICE

TOTAL

KA001

Mountain Landscape Pattern

  

$10.00

  

KA003

Down The River or Road Landscape Pattern

  

$10.00

  

KA006

The Birches Landscape

  

$10.00

  

KA007

Crystal Lake Landscape

  

$10.00

  

KA009

My Waterfall Landscape

  

$10.00

  

KA010

Thru The Woods Pattern

  

$10.00

  

KA012

FLIP FLOP BLOCK Acrylic Template

  

$20.00

  

KA013

THE BASIC PATTERN - FFB Version #1

  

$10.00
KA015 THE SHADOW BLOCK - FFB Version #2  

$10.00

  
KA016 PINWHEELS - FFB Version #3  

$10.00

  
KA017 CURVED 4 PATCH- FFB Version #4  

$10.00

  
KA019 STARS IN MOTION - FFB Version #6  

$10.00

  
KA020 CHOP BLOCK - FFB Version #7  

$10.00

  
KA021 CIRCLES AND CURVES - FFB Version #8  

$10.00

  
KA022 PAT'S 9-PATCH - FFB Version #9  

$10.00

 
KA023 CURVED SQUARES - FFB Version #10  

$10.00

 
KA024 CORNER CIRCLES - FFB Version #11  

$10.00

 
KA031 The "S" Curve Acrylic Template  

$20.00

 
KA032 "S" Curve - Basic & Diamonds  

$10.00

  
KA033 "S" Curve - Kaleidoscopes  

$10.00

  
KA041 The Para Block Acrylic Template  

$20.00

 
KA042 Para Block Verion #1 - Twist & Shout  

$10.00

 

Shipping & Handling:
- 1-3 items = $ 2.50
- 4-6 items =  $3.00
- 7-12 items = $4.95
- 13 or more = please contact me by phone or email
Canada – $10.95
International – $12.95

SUB-TOTAL

6% sales tax (within VT only)

Shipping and Handling
  

TOTAL AMOUNT DUE

  

Method of payment (circle one):
 PLEASE PROVIDE CREDIT CARD INFO BY PHONE OR MAIL TO PROTECT YOUR CREDIT CARD.
- Check (All returned checks subject to a $25.00 charge.)
- Money order
- MasterCard/VISA:
Card Number:___________________________   Expiration: _______   3 digits on back of card: _____
 Name as it appears on card: ____________________________________________