BJ's Imprints
W835 Honey Creek Road
Burlington, WI  53105
262-642-5312

Quiltpolice@wcf.net

Please Print Form, Fill Out and Mail with Check to

BJ's Imprints

Quilt Police™ Caps  (adjusts with velcro)

Caps  - Pebble

$______________

Caps  - White

$______________

Quilt Police™ T-Shirts

T-Shirt  -  Stone

Qty. ______    @ $15.00/ ea.

$______________

____ Sm    ____ Med     ____ Lg   ____ XL   ____ 2X     ____ 3X

Shipping Charges:
$       0 - $25. Add $4.00

$25.01 - $50. Add $6.00

$50.01 - $75. Add $8.00

If more, please e-mail for
shipping charges.

Sub-Total:

Shipping:

Total Enclosed:

$______________

$______________

$______________

Method of Payment:         Accepting Checks or Banks Checks
                                               2 Weeks for Delivery  (Average)

Name:

Address:





Phone:

E-Mail:

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