Custom Quilting Intake Form $75 minimum

Date*

Please call before sending to ensure that we have availability to accommodate deadlines. Requested Completion Date _______*

Name*

Primary Contact Phone*

Secondary Contact Phone

Email*

BILLING Street Address*

City*

State*

Zip*

Quilt Top Width*

Quilt Top Length*

Backing Width*

Backing Length*

If applicable, Do you want the seam centered?*

Thread Color*

Quilting Design Ideas, Likes, Dislikes for this quilt*

Select Quilting Density

Do Not Exceed $ limit for quilting services*

Batting: Supplied by customer*

Purchased by the yard:*

*If special order:

Additional Services

Shipping address same as billing

SHIPPING Address for Completed Project

NOTES

Social Media Disclaimer:
All quilts will be shared on social media unless otherwise
instructed.