Brookhaven Quilt Studio Order Form
Name: __________________________________
Address: __________________________________
City: ___________________________________
State: _______________Zip:_________________
E-Mail ______________________________________
Phone: ______________________________________
Quilt top Size: _____in. x _____in.= ______sq. inches
Prices: ($40.00 minimum on all orders)
Basting Only @ .005 cents per sq. in Basting charge: ____
Simple Pantograph Pattern @ .017 cents per square inch
Pattern Name: _________________________________
(If Custom quilting is desired, please contact me to discuss pricing.)
Quilting charge: _______________
Batting: Customer Provided
Heirloom Blend (80/20) .25 per inch 90" wide
Heirloom Blend (80/20) .30 per inch 120" wide
Batting charge: ________________
Thread: Solid $2.00 charge
Variegated $5.00 charge Color_____________
Thread charge: ___________
Return Shipping: USPS: _________________
Fed Ex: ________________
Basic Shipping Charge is $18.00 (includes up to $300 insurance)
ESTIMATED TOTAL: ____________
Fifty percent of the estimated total is required when the order is placed.
The balance of the quilting service is due when quilt is ready to be shipped.
Payment: Payment by Check Paypal
Special Instructions:__________________________________
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Thank You for your order!