Black Bird Country Quilt Works Online Order Form

Order Form For USA and Canada Only

Overseas please use our contact form

All orders require a contact telephone number!

Orders without a contact telephone number cannot be process and will be returned

If you haven't done this important step please Sign-up as a new customer on the website. Make your purchases, when you get to where it says "checkout" Select to make your payment by one of the following: Certified Check, Bank Draft, Money Order, VISA-MASTERCARD Then click "Order Form".
Print out this form.
Then click continue at the bottom of the "checkout" page.
Complete the form and mail it back to us. (Print clearly please)
Mail in your orders with payment types VISA/MASTERCARD, Money Order, (Pink International if your from the USA) Cashier's Check, Bank Draft or a Certified Check. Please do not send personal checks they are not accepted sorry.
Make sure the check is written for US or CND dollars.
Make check or Money Orders payable to : Black Bird Country Quilt Works
Please go over everything before you send it, to be sure everything is correct.
Send your orders to our mailing address at:

Black Bird Country Quilt Works

Box 6 RR 1,

Vittoria, Ontario Canada

N0E 1W0

All orders over $125.01 free shipping in the U.S. & Canada only!!!

Name:____________________________

E-mail address: (if any)_________________________________

Shipping Address:___________________________________________________________

City, State, Zip______________________________________________________

Telephone Number Required:_________________________________________________________

Item code*	Quantity	Item and Description	Price
















		SUBTOTAL
		SHIPPING CHARGES (See Chart Below)
		8% PST TO TOTAL include shipping (Ontario Canada Residents only) PLEASE DO NOT ADD PST ON BOOKS OR PATTERNS THEY ARE NOT TAXABLE
		If your from Norfolk County please select LOCAL SHIP FREE
		TOTAL ENCLOSED

* PLEASE NOTE, NOT ALL ITEMS HAVE A ITEM NUMBER, SO WRITE IN A PRODUCT DESCRIPTION.

Credit Card Payment Type

VISA MASTERCARD

Credit Card Number:

Credit Card Expiry Date:

Credit Card CVV Number:

This is required - Your CVV number
is on the back of your Visa, MasterCard it's the 3 digit
after the last 4 numbers.

Your Signature is Required for Mailing:

Please sign your signature in the provided box

Please allow up to 15 business days or more for delivery depending on where you live. Your order will be processed within 72 hours of your payment.

Questions or problems: Please click here