Order Form - Please print and include with your quilt

Your Contact Information

*First Name
*Last Name
Zip Code:
Home Phone:
( )   -
* Cell Phone:
( )   -
Size of Quilt: _______in. X ________ in.= sq. in.
Standard Overall Pantograph Quilting @ .015 cents/ sq. in.
Sq. in. X .015=
Pattern selected
Thread Type
Thread Color
Deluxe Overall Pantograph Quilting @ .02 cents / sq. in.
Sq. in. X .02=
Pattern for odd row
Pattern for even row
Thread Type for odd row
Thread Color
Thread Type for even row
Thread Color
Pattern for Border
Border Thread Type
Thread Color
*Backing We will be happy to coordinate an internet purchase of backing to be sent to us directly so that you will only have to pay for shipping one time.
*Do You want the quilt finish trimmed (no charge)?
Yes No
Do you want the excess batting returned to you?
Yes No
Do you want the excess backing returned to you?
Yes No
*Is it ok to publish pictures of your quilt on our site?
Yes No
Is it ok to mention your name when displaying a picture of your quilt?
Yes No
*Total of ALL Choices above
Sales Tax for Florida customers- Total cost of above X .0625=
*Return shipping UPS w/ $300.00 insurance $16.00
*Grand Total
Other comments or instructions:

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concerning your payment using Paypal

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