Your Name:

Address:

City:

State:

Zip Code:

Phone Number:

Alternative Number (ie. cell phone):

E-mail Address:

Shipping Information (if different than above):

Name:

Address:

City:

State:

Zip Code:

Name or description of quilt:

Dimensions of quilt:

Length: x Width:

Backing:

Backing material needs to be 4 inches longer and wider than quilt top.

Thread:

Solid Color:

Multi Color:

Quilting Pattern Choice:
(Choose pattern from Patterns Page)

Additional Charges:

Ironing $15.00/hour

Thread Clean-up from back of quilt top $15.00/hour

Things you as a customer can do:
Clean up back of quilt top of all threads. Square up the quilt top and make sure that your borders are not wavy. If borders are wavy we will have to take them off and fix them before the quilting can be completed. There will be a charge of $25.00/hour for this service.

Shipping:
Customer pays for shipping charges each way. Return shipping charges are estimated and include insurance.

I herby authorize the work listed above. I understand that the figures are only estimates of the costs and I am financially responsible for the final cost of services requested and rendered and supplies provided by Quiltin’ Corner LLC. All sales are final.

Customer Signature: