Customer name _______________________________________________

  Address ________________________________________________

  _________________________________________________________________

  Phone____________________________________________________   Email__________________________

  Quilt top measurements _________ by ___________ = ___________ square inches

  Description: (title, colors, appliqué, pattern, style)   __________________________________________________________________________________________

  __________________________________________________________________________________________

 Ultimate use? Child, wall, show, utility, gift, charity, raffle, etc._____________________________________

  Batting size ___________________ Type __________________________ customer's or purchased?

  Back size __________________ Fabric ____________________________ customer's or purchased?

  Thread color ____________________________________ type __________________________________

  Patterns/designs you envision? (Basic, Complex, Custom) _________________________________________

  _________________________________________________________________________________________

  Love? ________________________________________ Hate? _____________________________________

  Quilter's choice? ___________________________________________________________________________

  Binding   Half    Machine    Full     None       Perimeter _________________

  Date desired _________________________ Anticipated finish date _________________________________

  Estimated charges ______________________________ (plus tax)

  Due today (half) _____________________________________________

  Remainder plus tax due on completion of work.

  Customer signature _____________________________________  Today's Date_______________