Quilt Your Quilt

Machine Quilting Order Form

(please print out and complete one of these forms for each quilt top sent to QYQ)

Customer Name: _____________________________  Phone:  ________________________

Address:  ___________________________________  Email:   ________________________

               ___________________________________

Description of Quilt:                                                 Size:  ____.in x ____.in

Edge To Edge Pattern:  _________________________(select from SAMPLES or call to discuss)

Thread Color:  ____________   

Batting: Provided by you _______ Provided by QYQ _____ (will be discussed with you)

Backing: Provided by you ______ Provided by QYQ _____ (will be discussed with you)

Binding Services Requested ____ Basting "only" Services Requested______   

Special Instructions: _____________________________________________________________

_______________________________________________________________________________

Charges:

Quilting:        $____________(see Price List)

Binding:        $____________(if requested---see Price List).

Basting only: $____________(if requested---see Price List)

Batting:        $____________(if not provided by you, will be discussed in advance)

Backing        $____________(if not provided by you, will be discussed in advance)

Hanging Slv: $____________(if sleeve requested)

Other:          $____________(if applicable, will be discussed in advance)

Sub Total:    $____________

Sales Tax:   $____________(for PA customers only)

Shipping:     $____________(indicate choice: U.S. PS___ Fed Ex___ Other_____)

Insurance:    $____________(insure for amount: $____________) 

Total            $____________

Note:  Quilt Your Quilt makes every effort to complete a job to the total satisfaction of our customers.  Please review the above specifications and charges, and indicate your approval with your signature below.  All charges must be paid in full prior to delivery (see PaymentTerms: 50% of quilting charge due when quilt top shipped to us and remainder due before return shipment to you).  Customer agrees to inspect completed quilt upon receipt and to report any discrepancy to Quilt Your Quilt immediately.  Customer agrees to the above terms.

Customer signature:  __________________________ Date:____________