Longarm Quilting Form

Name*
First Last
Today's Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Quilt Size
Sq Inches
Perimeter
Quilt Description
Quilting Pattern Style
- Large ($0.0175 sq. in.)
- Small ($0.025 sq. in.)
- Custom ($0.03 sq. in.)
Square Inches
Add'l Quilt Charges
- Ironing ($15.00)
- Additional Prep Work ($20.00)
Extras
- Backing ($8.50/yd if not provided by Customer)
- Batting (80/20) (0.22 per linear inch)
- Binding.attached ($0.15 sq. in.)
- Binding.hand turned ($0.29 sq. in.)
Personalized Custom Labels
(Add your label wording to Comments section/ 4 lines max)
- $25 - Color
- $15 - B/W
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

Payment