Please print out this form and fill it out completely, or

Name______________________________________________

Street Address_______________________________________

City________________________________________________

State_______Zip__________ Phone______________________

email (optional)______________________________________

 Please mail your payment and order form to:
Maple Island Quilts
329 Maple Island Road
Burnsville, MN 55306

Website: www.mapleislandquilts.com

Method of Payment: (please circle one)
Visa / MasterCard / Check / Money Order

Visa/Mastercard #______________________

Expiration date:_____ Total Amount: $_________

Item
Price
Quantity
Total
Item
Price
Quantity
Total

Q
U
I
L
T



P
A
T
T
E
R
N
S

 MIQ112 Confusion $ 9.00
$ MIQ348 Kard Keeper $ 4.00
$
MIQ113 Flipped Out $ 9.00
$ MIQ349 Stackables 1 $10.00
$
MIQ114 Keep Out $ 9.00
$ MIQ350 Stackables 2 $10.00
$
MIQ115 Choices $ 9.00
$ MIQ351 Bagavond $10.00
$
MIQ121 Puzzler $ 9.00
$ MIQ423 Amazing $ 9.00
$
MIQ131 Marbles $ 9.00
$ MIQ424 Options $ 9.00
$
MIQ135 Bent Pieces $ 9.00
$ MIQ425 Frames $ 9.00
$
MIQ137 Eating In $ 9.00
$ MIQ531 Squiggles $ 9.00
$
MIQ139 Hot Shot $ 9.00
$ MIQ542 Turnabout $ 9.00
$
MIQ140 Jam Art $ 9.00
$ MIQ543 Betsey $ 9.00
$

MIQ141 Wallet & Grommet

 $ 9.00
$ MIQ544 Eureka $ 9.00
$
MIQ152 Carnival $ 9.00
$ MIQ655 Snibbles $ 9.00
$
MIQ153 Frenzy $ 9.00
$ MIQ656 Spotlight $ 9.00
$
MIQ154 Sidelines $ 9.00
$ MIQ657 Posh $ 9.00
$
MIQ231 Ric Rac Rendezvous $ 9.00
$ MIQ661 SplashySquares $ 9.00
$
MIQ232 Jagged Edges $ 9.00
$ MIQ704 Tripster $ 9.00
$
MIQ233 BQ3 $ 9.00
$ MIQ705 BQ $ 9.00
$
MIQ302 Pagodas $ 9.00
$ MIQ812 Over & Under $ 9.00
$
MIQ304 Satisfaction $ 9.00
$ MIQ952 Long Lines $ 9.00
$
MIQ306 Piqued $ 9.00
$ MIQ962 Baby Grand $ 9.00
$
MIQ308 Dancing $ 9.00
$ MIQ961 Grand Opening
 $ 9.00
$
  MIQ309 Celebrate $ 9.00   $ MIQ963 Check It Out $ 9.00   $
  MIQ315 Show Off $ 9.00   $ MIQ965 BQ2 $ 9.00   $
  MIQ318 Pot Luck $ 9.00   $        
BOOKS - ETC
 Yikes (Book) $12.00
$
Dancing Quilts from Straight Pieces (AQS book) $29.50
$
Subtotal $
Minnesota Residents - add 6.875% Sales Tax $
Handling $1.00
TOTAL $

* Our prices include postage to US locations.
* Canada: Add .50 US/patterns and $1.50/book to all orders
* International: Shipping charges will be added and billed to credit card.

Copyright 2005-2012. Maple Island Quilts, Burnsville, Minnesota