5 Heart Quilts & Fabric || Online Form ||

5 Heart Quilts and Fabric

104 W Tehachapi Blvd

Tehachapi, CA 91361

Phone Number

(661) 822-8709

Email Address

gclye@cybersurfers.net

Schedule

Tuesdays-Fridays : 9:30 - 3:30

Saturdays : 10:00 - 3:00

We accept Major Credit Cards

Please provide the following order information.(pls include Qty, Desc, Item Code)

ORDER DETAIL

Note: Specify the dominant color of your order

CREDITCARD INFO

Card Type:

Credit Card Number:

Cardholder's Name:

Expiration Data:

BILLING INFO

Customer name:

Street address:

City:

State:

or Province:

Country:

Zip/Postal Code:

Phone:

Fax:

Email:

SHIPPING INFO (if different than above address.)

Customer name:

Street address:

City:

State:

or Province:

Country:

Zip/Postal Code:

5 HEART QUILTS & FABRIC