Name (Print) ______

Last NameFirst Name

2015 Mystery Block-of-the-Month Agreement for Mail Order

I understand that the following rules apply to the 2015 Mystery Block of the Month Club:

There is no fee charged for membership in this club. I will choose a colorway (Holiday Traditions or

Family Traditions) at the time I register for the club.

The cost for the twelve blocks (January through December) is $128, which includes Thangles and shipping.

I understand that fabric is being purchased and kits made on my behalf based on my enrollment in this club and that this is a 12-month commitment.

I understand that it is illegal to make copies of the monthly patterns and finishing instructions as they are copyrighted materials.

I also understand that if I want a finishing kit for my block-of-the-month, I need to pre-order a kit.If I pre-order my kit by January 19, 2015, I will receive a 10% discount on my kit. Payment in full is required at the time I place my order. I further understand that my payment for my finishing kit isnon-refundable.After January 19, 2015, orders for the kit will be taken on an availability basis and will be at full price. It is not necessary to purchase a finishing kit to participate in the 2015 Mystery Block-of-the-Month Club. Thangles will be used to complete the blocks this year and are included in the above price for the block kits. If you have never used Thangles before, you will find that they are super easy to use. A demonstration video can be viewed here:

There will be two quilt size options for the finishing kits. The queen-size quilt measures approximately 85" x 96" and is $124.00 ($111.60 with the discount). The twin-size quilt measures approximately 72” x 83” and is $104 ($93.60 with the discount) plus tax for Kentucky residents. Shipping will be $15 for the kit.

Signature: ______Date: ______

Address: ______

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Phone: ______

Circle Colorway Choice:Holiday Traditions or Family Traditions

Please fill out back of form

Name (Print): ______

Phone Number: ______

Colorway (circle choice):Holiday Traditions or Family Traditions

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Credit Card Number

Credit Card Expiration Date: ______

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Billing Address (house # or PO Box #) Billing Zip Code 3 digit security on back of card

Name on the Card (Please Print)

Signature of Cardholder

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This Section for Store Use Transaction #: ______

Finishing Kit

Date Kit Ordered: ______Amt.: ______Clerk Initials: ______

Circle Colorway: Holiday Traditions or Family Traditions

Circle Size:TwinQueen

Date Finishing Kit Mailed: ______Clerk Initials: