Please note that I am not accepting any new projects at the moment.

 166 Meadowlook Way, Boulder, CO 80304
 Phone: (303) 442-3145   Fax: (303) 442-4252

ORDER FORM

NAME: ______________________________________________ DATE: ____________
ADDRESS: ______________________________________________
______________________________________________
PHONE: (H) ______________________ (W) ___________________
EMAIL: ______________________________________________
 
QUILT DESCRIPTION: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
 
SIZE OF QUILT TOP:Width: _____inches X Length: _____inches = _______ sq. inches

PRICE LEVEL:___ Side to Side @ $.015/sq. inch$ _______
 ___ Custom @ $.025/sq. inch
 ___ Heirloom @ $.035/sq. inch
 
BORDERS:$15 charge to turn quilt to complete borders$ _______
 
BATTING:___ Provided by customer _______________________$ _______
 ___ Warm & Natural (90" wide) @ $9 per yard
 ___ Warm & White (90" wide) @ $9 per yard
 
THREAD:___ Cotton solids ($1)   ___ Any Variegated ($1.50)$ _______
 ___ Polyester solids ($1)   ___ High Sheen Polyester ($1.50)$ _______
 ___ Provided by customer$ _______
 
SERVICES:$15 per hour for pressing, squaring up back, etc.$ _______

 ESTIMATED TOTAL:$ _______
 
DEPOSIT:50% of the estimated total is required upon receipt of quilt$ _______
 Check or money order payable to Anne Rollins
BALANCE:A final invoice will be prepared upon completion of quilt
 *Total balance required prior to return shipping

QUILTING DESIGN REQUESTS OR INSTRUCTIONS:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________