Fabric Order Form

Enter "Sample" for Samples
Please allow 2 to 8 weeks for delivery


First Name: Last Name:
Address: City:
State: Zip:
Phone: Email Address:


Enter bill address if not same as above
Bill First Name: Bill Last Name:
Bill Address: Bill City:
Bill State: Bill Zip:
Bill Phone: Bill Email Address:


Enter Fabric 1 Information Below
Manufacturer 1: Collection 1:
Pattern 1: Color 1:
Price per yard 1: Quantity 1:
Cost 1:


Enter Fabric 2 Information Below
Manufacturer 2: Collection 2:
Pattern 2: Color 2:
Price per yard 2: Quantity 2:
Cost 2:


Enter Fabric 3 Information Below
Manufacturer 3: Collection 3:
Pattern 3: Color 3:
Price per yard 3: Quantity 3:
Cost 3:


Enter Fabric 4 Information Below
Manufacturer 4: Collection 4:
Pattern 4: Color 4:
Price per yard 4: Quantity 4:
Cost 4:



Please add Ground Shipping Charges:
Up to $34.99 ----------- add $6.95
$35 - $49.99 ----------- add $8.95
$50 - $74.99 ----------- add $10.95
$75 - $99.99 ----------- add $12.95
$100 - $149.99 ----------add $14.95
$150 - $199.99 ----------add $17.95
$200 and more ----------- add 8%

Total Cost:
Comments: