Please print out this form and fill it out completely, or
Name______________________________________________
Street Address_______________________________________
City________________________________________________
State_______Zip__________ Phone______________________
email (optional)______________________________________
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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: $_________
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