Quilters' Express Japanese Fabric Club
Membership Order Form

Please print out and mail it to:
Quilters' Express to Japan,
PO Box 294,
Lewisburg, PA 17837

The total cost for one calendar year in the Japanese Fabric Club -beginning whenever you join ranges between $ 276.30 and $ 293.70 (within continental USA)
This includes:
$15.00 Annual Membership Fee
$ 215.70 for Fabric ( @ $35.95 per package x 6 shipments)
$45.60 - $ 63.00 Shipping & Handling (@ $7.60 - $10.50 per mailing)
Applicable Sales tax will be added to shipments within Pennsylvania State.

Contact Information
Name:
Address:
City:  
State: Zip:
Daytime Phone:  
e-mail:

Two Methods of Payment
1. Check or Money Order in U.S. Funds for Full Amount
or
2. Credit Card: Visa Master Card
Card Number Exp. Date (mm/yy) /
Name as it appears on Card:

Signature as it appears on Card: ______________________________

Please charge my card the full amount now.
Please charge my card at the time of each shipment.



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©2003 - 2008 Quilters' Express to Japan
Susan B. Faeder - PO Box 294, Lewisburg, PA 17837 USA
570.522.7480 -- Send us an e-mail


Updated March 2008