NAME _______________________________________ ADDRESS _______________________________________ CITY __________________ STATE ________ ZIP ______ PHONE _______________ EMAIL ___________________ Batting (Circle) Poly Low High Poly/Cotton Low High Cotton Low High Backing (Circle) Yes No If Yes, please select either Natural or White Edge-to Edge quilting : Yes No Custom quilting: Yes No Binding: Yes No Please place your quilt in a protective plastic bag. [Not for storage - just for shipping.] This will keep it clean and dry during shipment. I use US Postal Service for mailing. I also insure your quilt for $200. If you wish added insurance value, circle yes, enter the amount and we will include the added insurance cost in our billing. Yes Amount $ _____ Use this area for any special instructions, quilting ideas/themes or comments: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ |