Name ......................................................................................
Address .................................................................................
..................................................................................................
Phone ....................................................................................
E-Mail .....................................................................................
Quilt size ...................x.................... inches
Square inches .............................................

Quilting Style:
Pantograph - from $0.015 psi ..................................................
Edge-to-edge - from $0.015 psi ...............................................

Thread color ........................................................................

Batting type and size
.................................................................................................
.................................................................................................
Customer providing   yes/no

Signature .............................................................................
Date ......................................................................................