Order Form
Be sure to fill in all shipping information when faxing in this order form.
The Pattern Peddlers
113 Main Street, Nevis, MN 56467
Telephone: 218-652-3713 Toll Free - Orders Only: 800-845-4508 Fax: 1-888-756-0585
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Name:______________________________________________Date:______________
Address:____________________________________Telephone#_________________
City____________________________________________State________Zip________
Shop Owner's Name______________________________ Acct # ________________
Email address:__________________________________________________________
Credit card #____________________________ Exp.date ________ Sec. code______
(Visa or Master card only)
Item # Qty. Title
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