"Classic Candlewick Quilt" Application Form
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Name:________________________ |
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Phone (H) :______________________ | Email:__________________________ | |
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Address:______________________ |
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Phone
(W) :______________________ |
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| Postcode:_____________________ | Mobile:______________________ |
Please enrol me in "Classic Candlewick Quilt" Block a Month:.
| Block Patterns | 1 Year Aus$120 (Full payment includes postage) | __________________________ |
| 4 Months Aus$40.00 (Includes postage) | __________________________ | |
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I
understand that two further payments of Aus$40.00
are due on 10/8/04
and 30/11/04 An account will be sent with the posting on these dates. |
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| Quilt Kit (Please indicate: TRADITIONAL CREAM or PASTELS) | ___________ | ||||
| ___________ | |||||
| ___ Mtrs Seeded Homespun | ___________ | ||||
| ___
Balls Candlewicking Thread * (Please indicate colours) (Colours include: Apricot (_), Light Pink (_) Dusty Pink (_) Light Blue (_) Pale Blue (_), Sage Green (_) Pale Green (_) Lemon (_), Dull Yellow (_), Mauve (_), White (_), Cream (_) |
___________ | ||||
| ___ Heat Transfer Pencil | ___________ | ||||
| ___ Sheets Transfer Paper | ___________ | ||||
| ___ Packs Needles | ___________ | ||||
Postage
& Packaging:(up
to $5.00 within Australia) |
___________ | ||||
| (Please do not include "Block Patterns amount when calculating postage) | |||||
| International Postage actual charges added to total. | |||||
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Total
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Aus |
$___________
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Payment options
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