Vintage Sewing Room BOM Form

'Vintage Sewing Room'

Block of the Month Registration Form
$35 per month for 10 months
PLUS $7.50 tracked POSTAGE per month if required
Name*

First NameLast Name
Postal Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Daytime Phone Number*

Area CodePhone Number
POST or COLLECT:*

POST ($7.50 per month)COLLECT from Blue Mountain Heights, QLD
Our Block of the Months are charged and posted (or available for collection) on the 1st Tuesday of each month.
Once you have submitted your BOM Form, we will be in contact via phone to collect your payment details - all payment details are securely stored (credit/debit card).

** PLEASE NOTE: by submitting this form, you are agreeing to purchase one block per month for the duration of the BOM program. If your payment declines, admin fees may apply.
Should be Empty:

'Vintage Sewing Room'