Intake Form

Quilt Service Form

The Quilting Stitch

104 Monroe St.

Monroe Center, IL. 61052

Name____________________________

Address__________________________

_________________________________

Phone__________________Cell Phone____________________

E-mail_____________________________

Quilt Description______________________________________

Size in inches: Top_______X_____ Backing_______X_______

Backing and batting need to be 4-6 inches larger than the top on all sides.

Pantograph Design____________________________

Custom Design_______________________________

Batting: _________________________

Thread: I have many colors to choose from, solid, variegated, and specialty.

Binding: Supplied_____________inches or your fabric for me to prepare your binding for you.

Machine attached__________Hand stitched on back___________

Photographs on webshots: yes________no________with /without your name

If you would like to have the edges of your quilt trimmed please let me know or it will not be done.

Customer Signature__________________________Date_______________

Please print and complete this order form and send or bring it with your quilt.

Your quilt will be quilted in the condition it is received. Please read quilt prep page

Your quilt will be completed in the order in which it is received.

Return shipping by USPS or UPS (insured for $100.00)l