Customer Information
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Order Date:
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Email Address: |
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First Name: |
Last Name: |
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Street address: |
Apartment #: |
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City: |
State:
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Zip code: |
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Home Phone: |
Other Phone: |
AM PM |
Quilt Information
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Quilt Name/Description:
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Quilt Top Width (inches) |
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Quilt Top Length (inches) |
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Batting Choice |
Cotton Poly Lt Med |
Blend poly/cotton wool/cotton |
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Backing Description |
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Pantograph Choice |
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Meander Style |
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Border Style |
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Custom Work Description (use form back if needed) |
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Special Quilt Issues |
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Backing (must be square & 8" larger than top) |
Provided by Customer: |
Yes |
No |
Color: |
Batting
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From “QBJ” |
Yes |
No |
Type: |
Size: |
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Batting |
From You |
Yes |
No |
Type: |
Size: |
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Thread -Color |
Top & bottom threads will be the same unless otherwise requested. If contrasting colors are used a small dot of thread will
show on the other side ( if you are choosing different threads). |
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Thread Colors: |
Thread #1 |
Thread #2 |
Thread #3 |
Quilting Charges
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Quilting Labor |
( ) sq. in. x rate (
) = $ |
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Batting Charge |
( ) yards x (
) per yard = $ |
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Backing Charge |
( ) yards x (
) per yard = $ |
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Binding Labor Charge |
( ) inches x (
) per inch = $ |
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Thread Charges |
= $ |
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TOTAL CHARGES |
= $ |
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Deposit $ 50.00 |
Est. Bal. Due at Completion: $ |
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Payment & Return Shipping Instructions |
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Shipping = Priority Mail or Ground Mail USPS w/Insurance |
Total Shpg Cost |
$ |
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Insurance |
$ |
Value amount |
$ |
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Total Estimate: |
Please Note: Minimum Charge is $35 for any quilting job |
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Payment Method: Check Money Order
Paypal |
Estimated Turn Around Time: |
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Customer’s Signature: |
Date: |
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