T-Shirt Order Form

Your Information
Name*
First Last
Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Alt Phone
How did you hear about us?
Birthdate
Quilt Information
Quilt Choice:
- Standard ($20 block)
- Frameless ($16 block)
Number of Blocks in quilt
9 (Wall Hanging) 12 (Throw) 15 (Twin) 20 (Full) 25 (Queen) 30-42 (King)
Optional Accent Border ($25)
- Yes
- No
Flannel Back ($20)
- Yes
- No
RUSH - Expedite Charge ($50)
- Yes
- No
Stitch Pattern
- No Preference
- Meander
- Custom
Embroidery
- Yes
- No
- Call for Details
Personalized Custom Labels
(Add your label wording to Comments section/ 4 lines max)
- $25 - for 2 Colors
- $15 - for 1 Color
Comments
Payment
A $50 deposit per quilt is required
- Pay by check or money order
- Payment will be made through PayPal
- I have a gift certificate, coupon, or promo code
YOU WILL BE BILLED FOR FINAL COSTS AND S/H ONCE SERVICES ARE COMPLETE

Your Information