LongArm Quilting Order Form
~By Quiltygirl~

Alycia Carmin
PO Box 233
Kersey CO 80644
(970)352 8802

Order Form
Print out this form and enclose with your shipment!
Please make all checks payable to Alycia Carmin.

Please Print or Type
Name: ____________________ Phone: ____________________
Address: ____________________ Fax: ____________________
City, State, Zip: ____________________ Email: ____________________
Quilting Prices:
(Each quilt is unique! Actual price may vary depending on actual quilt dimensions or the complexity of quilting designs.)
Minimum Quilting Charge: $40.00
Quilt Size
(Width X length):		 Service: Total:
_____________ Basic Meander Quilting: __________________ $___________
_____________ Pantograph Quilting
Pattern Desired: ________________		 $___________
_____________ Custom/Intricate Quilting
Patterns desired:______________		 $___________
Special instructions?
____________________
____________________
____________________		 Quilters Dream Batting:
quilt width + 6" X .25 =________
I have enclosed my own: (No Charge) _______
Type of batting?__________		 $___________
Thread color(s)_____________
($5.00 each color)

Remounting to complete borders and corners: $10.00
(If applicable) 		$___________


Backing - 108" Muslin Natural or White: $4.00/yard
Yards needed _______		 $_________

Return Shipping:
wallhanging/crib: $10.00
lap/twin: $12.00
full/queen/king: $15.00

Total:
$_______
$_______
$_______

$___________
 Signature: ______________________________ ______________