Order Form

Longarm Quilting Services Order Form

Customer Name: ______________________________________

E-mail__________________________________­­­­­________

Address: ________________________________________________________________________________

Home Phone: ____________________ Work Phone: _____________________ 

Cell Phone: _________________________

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Quilt Description: ______________________________________________________________________________________________________________________________________________________

Quilt Size in Inches: Length_______ x Width ________ = ______________ square inches 

QUILTING DESIGN  

I have hundreds of patterns available. Please contact me to discuss pattern options

☐ Edge to Edge Pattern _________________Pattern Height _____” x $ .0175  ­­$ _______________ 

 ☐  Complex Edge to Edge Pattern _________ Pattern Height ______” x $ .02-.05  ­­$ _______________ 

☐ Custom Design ______________________Pattern Height _________________”  x $ Prices Vary 

THREAD      

☐ Provided by customer

☐ Glide  ☐ Omni   ☐ Signature 100% Cotton   ☐ Specialty Thread (as priced) 

Color: Top __________________ Bobbin __________________

BATTING

☐  Provided by Customer 

☐  80/20 96” wide ($0.20 per linear inch) _____________ inches x $ .20         ­­­­$ _______________  

BACKING (10 inches larger than quilt top)

☐  Provided by Customer 

MISCELLANEOUS

☐  Trim to Edge____ $10.00

☐ Quilt Prep Charge (Ironing, sewing backing, trimming threads, etc) minimum 1 hour __ x $25.00/hour 

☐ Expedited service available, contact for pricing

Payment in full is required before finished quilt is returned to the customer

Taxes and shipping charges will be added to total cost

Date received: _______________ Date requested: _______________ 

Please print this page, fill out where applicable and e-mail back to me at cclqaz1@gmail.com