Golden Quilt Company, LLC
1108 Washington
Golden, Colorado 80401
Phone orders – 303.277.0717
Fax orders – 303.277.0710
Billing Address Shipping Address
__Check if same as shipping address.
Name________________________ Name________________________
Address_____________________ Address_____________________
City________________________ City________________________
State_______ Zip____________ State___________ Zip________
Country___________ Country___________
Telephone___________________ Telephone___________________
E-Mail______________________ E-Mail______________________
Credit card
____ Master Name on Card___________________________
____ VISA Card number____________________________
____ Discover Expiration ______________________________
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(CO only 7.6%) Sales Tax |
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SHIPPING: The chart below is an estimate according to US Postal Rates.
Actual shipping charges may vary according to weight, package size,
zone and method of shipment.
(Purchase Amt.) (Shipping)
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Up to $14.99
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$3.95
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$15 - $29.99
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$4.95
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$30 - $39.99
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$5.95
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$40 - $59.99
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$6.95
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$60 - $89.99
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$7.95
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$90 +
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$8.95
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Add $ 7.00 for UPS 2nd Day Air
Add $14.00 for Express Mail
Add $20.00 for UPS Overnight
Please check shipping method preferred:
US Mail ___ US Priority Mail____
UPS_____ UPS Priority _____
(International orders will have additional shipping charges)