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

KA003

Down The River or Road Landscape Pattern

 

$10.00

 

KA009

My Waterfall Landscape

 

$10.00

 

KA010

Thru The Woods Pattern

 

$10.00

 
         

KA012

FLIP FLOP BLOCK Acrylic Template - ON SALE!

 

$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 - ON SALE!  

$20.00

 
KA032 "S" Curve - Basic & Diamonds  

$10.00

 
KA033 "S" Curve - Kaleidoscopes  

$10.00

 
KA034 "S" Curve - Starburst  

$10.00

 
KA035 "S" Curve - Line Dancing - NEW!  

$10.00

 
         
KA061 The Squiggler Acrylic Template - ON SALE!  

$20.00

 
KA062 Squiggler - Version #1 - Basic  

$10.00

 
KA063 Squiggler - Version #2 - Granite  

$10.00

 
KA064 Squiggler - Version #3 - Halves and Thirds - NEW!  

$10.00

 
KA065 Squiggler - Version #4 - Mountain Waves - NEW!  

$10.00

 
KA066 Squiggler - Version #5 - Curving Coins - NEW!  

$10.00

 
         
KA041 The Para Block Acrylic Template - ON SALE!  

$20.00

 
KA042 Para Block Version #1 - Twist & Shout  

$10.00

 
KA043 Para Block Version #2 - Fly, Fly Away  

$10.00

 
         
KA051 The Boomerang Block Acrylic Template - ON SALE!  

$20.00

 
KA052 Boomerang Block - Version #1 - Four x Four  

$10.00

 
KA053 Boomerang Block - Version #2 - Waves  

$10.00

 
KA054 Boomerang Block - Version #3 - Bottleneck  

$10.00

 
     

$10.00

 
KA025 The Flip Flop Block Book (Autographed to whom?)  

$22.95

 
         
       

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 – $19.95
International
– $23.95

SUB-TOTAL

   
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: ____________________________________________

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