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ORDER
FORM
Please print this page for your
order form
Ship To:
The Quilt Studio
4429 So. 50th St.
Omaha, NE 68117
Order Form
Name:______________________
Size: _____in. x _____in.=
______sq. inches
Home
Address:________________________
________________________
________________________
E-Mail_______________________________
Phone: _________________(H)
_________________(W)
Price Level: ($40.00 minimum on
all orders)
____ Basting Only @ .0075 cents
per sq. in
____Overall Pantograph Pattern @
.015 cents per square inch
Quilting Pattern
Choice:______________________
Batting: ____ Customer Provided
____100%Dream Cotton Request .32 per
inch 90" wide
____100%Dream Cotton Select .42 120"
wide
____Polydown .20 per inch 90"
wide
____Polydown .30 per inch 120"
wide
____Heirloom Blend (80/20) .30
per inch 90" wide
____Warm & Natural .32 per inch
90" wide
____Warm & Natural .42 per inch
120" wide
Backing: Must be 6" or larger
both sides to provide for better
quilting.
____Customer
Provided
110"
Backing $13.95 per yard
______color
____108" side blender backing
fabric $15.95 per
yard____________ color
____108" leafy backing $15.95
per yard____________ color
____Natural Muslin 11.50/yd.(90"
wide) ____White Muslin
$11.50/yd. 90"
____Printed Cotton $9.50/yd.
______Color:________
$9.50/yd.(45" wide)
Thread: ____Cotton
____Cotton Wrapped Poly Core
____ Monofilament $3.00 charge
____Variegated $6.00 charge
Color______________
Binding: ____.18/ linear inch:
Cut and pieced, machine stitched
again to front
with mitered corners to
finish
____.25/linear inch: Cut and
pieced, machine stitched to
front, trimmed, and
hand stitched to back
with mitered corners to finish
____.10/linear inch attached to
front only
Hanging Sleeve: _____Yes (add
$10.00) _____No
Return Shipping: UPS_______
Fed Ex______
Basic Shipping Charge is $16.00
includes up to $300 insurance
ESTIMATED TOTAL:
Balance: The balance of the
quilt service is due when quilt
is ready to be shipped.
Payment: Payment by Check_____
Credit Card____ PayPal_______
Name on card:
___________________
Account Number#_____ _____ _____
_____
Expiration ___ /___
CVV number _________
This is
the three digit number on the
back of your card
Special
Instructions:_____________________________________________________
_____________________________________________________________________
_____________________________________________________________________
At no charge would you like your
quilt finished cut.
YES____ NO____
Thank You for your order!
To pay with
PayPal or any credit card,
please calculate the total of
your quilting needs above
and send payment to:
Contact
Information for long arm machine
quilting services:
Telephone:
402-934-4750
Store
Hours:
Monday-Wednesday:
10:00-5:30
Thursday:
10:00-7:00
Friday:
10:00-5:30
Saturday: 10:00-4:00
Shipping
Address
Attn: Carol Cisar
The Quilt Studio
4429 So. 50th St.,
Omaha, NE 68117
For a quilting estimate or more
information e-mail us at
The Quilt Studio
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