[Imported Form] Request Quilting Service

Customer Information
Name*

First NameLast Name
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Best way to contact you*

PhoneEmail
Your website/blog:
Quilt Information
Name of your Quilt:*
Quilt Dimensions (length X width in inches)*
Do any of these apply to your quilt?*

AppliqueT-shirt quiltEmbellishments such as ric rac, buttons, etc.EmbroideryNone of the above
Choose your batting*

Warm & White 100% cotton - $9 per yardLegacy Natural Blend 80/20 90" wide - $9 per yardI will send my own
As a courtesy, I will trim away the excess batting and backing within 1" of your quilt. Trimmings will be included in your return package.*

Yes, please do.No, please don't.
Do you plan to enter this quilt in a show?*

YesNoI'm not sure
Choose your edge to edge pattern. For custom quilting, select "Undecided/Other":*
May I share photos of your quilt on my social media accounts and website/blog?*

Yes, I would love that!No, it's a secret!
Please describe your quilt and specify any special requests (thread color, etc.)*
Should be Empty:

Customer Information