Banksville Designer Fabrics Order Form

115 New Canaan Ave., Norwalk, CT 06850

Phone 203-846-1333        Fax 203-846-4134


Ship to Address( No PO Boxes):__________________________________



State:____________Zip Code:_________



We have a copy of your samples on record.

Place your order by Mail, Fax or Phone.

For quickest and easiest method, please call 203-846-1333


Date on Swatch Request Form Swatch # Width Price

Qty in Yds.

(1/2 Yd.minimum)


                                                                        Fabric Total______________

                                                           Notions & Lining ________________

                             CT Residents Add 6% Sales Tax for Non- Clothing Items____________

                  Shipping Charges(Call for Exact Amount)________________

                                                                     Grand Total________________


Shipping Determined by Weight and Location

Please call or email for shipping price.

At additional cost, Next, 2nd or 3rd day are available.

________I am sending a check with my driver's license #, exp date and birth date.

________I am sending a  money order.

________I am using the following MC or Visa.

___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ __ Exp. Date___ ___/___ ___

No Returns on Cut Fabric