Sport-Quilts

Order Form
Please fill in, print out and return with your order to:

Anne Tiffany
38748 Hughesville Rd.
Leesburg, VA 20175
540/338-2835
JTiff70519@aol.com 

Name:

Address:

Home Phone:

Work Phone:

Quilt Size:

Check One:

Standard Sheet  Flannel Sheet
Color Backing:

Border:

Yes  No
# of Tee-shirts enclosed:

Amount enclosed:
(50 % of Cost)

$
Amount due upon delivery: (C.O.D.)

$
NOTE: Shipping cost will be added to C.O.D.s

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