ORDER FORM
PLEASE PRINT THIS FORM. FILL IT OUT AS COMPLETELY AS
POSSIBLE. SEND IT TO ME ALONG WITH THE QUILT TOP,
BATTING AND BACKING IF YOU ARE PROVIDING IT, AND A CHECK
FOR THE DEPOSIT.
PLEASE GIVE ME AT LEAST 6 WEEKS' NOTICE IF YOU NEED THE
QUILT FOR A SPECIAL OCCASION TO AVOID DISAPPOINTMENT.
POSSIBLE. SEND IT TO ME ALONG WITH THE QUILT TOP,
BATTING AND BACKING IF YOU ARE PROVIDING IT, AND A CHECK
FOR THE DEPOSIT.
PLEASE GIVE ME AT LEAST 6 WEEKS' NOTICE IF YOU NEED THE
QUILT FOR A SPECIAL OCCASION TO AVOID DISAPPOINTMENT.
NAME___________________________________________________________
ADDRESS_______________________________________________________
________________________________________________________________
TELEPHONE______________________________________________________
E-MAIL___________________________________________________________
QUILT SIZE: LENGTH__________X WIDTH__________ = ______________sq.in.
QUILT NAME/DESCRIPTION__________________________________________
_________________________________________________________________
PANTOGRAPH NAME_______________________________________________
PANTOGRAPH COST_______________________________________________
CUSTOM QUILTING DESCRIPTION (SEND ALONG ANYTHING THAT WILL HELP
ME WITH THE QUILTING - STENCILS, PATTERNS, ETC. I WILL RETURN THEM
WITH THE QUILT___________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
CUSTOM QUILTING COST____________________________________________
SOLID THREAD COLOR__________________________________COST___$3.00
VARIEGATED THREAD COLOR____________________________COST $7.00
BATTING CHOICE (IF NEEDED)_______________________COST____________
BACKING CHOICE (IF NEEDED)_______________________COST____________
BASTING FOR HAND QUILTING COST (IF NEEDED)_______________________
BINDING COST (IF NEEDED)_________________________________________
TOTAL CHARGES__________________________________________________
MICHIGAN STATE SALES TAX (6%) (Add for batting, backing fabric, and thread only)
____________________________________
TOTAL____________________________________________________________
PLEASE INCLUDE A $25.00 DEPOSIT (OR HALF OF THE TOTAL COST OF
SERVICES IF SERVICES ARE LESS THAN $25.00) (CHECK OR MONEY ORDER).
THE BALANCE WILL BE DUE WHEN THE QUILT IS FINISHED. I WILL SEND THE
QUILT BACK AFTER I RECEIVE FINAL PAYMENT.
SEND TO: KAREN'S QUILTED CREATIONS
C/O: KAREN MARTINEZ
9250 MONTGOMERY ROAD
MONTGOMERY, MI 49255
I authorize Karen Martinez of Karen’s Quilted Creations to complete the work listed
above. I understand that I am financially responsible for the cost of services rendered
and for all materials used in this process. If this quilt is displayed in a show or
publication, I agree to credit the machine quilting to Karen‘s Quilted Creations.
Initial here to authorize photography and posting to my Web Page
__________________

Signature:
_______________________________________________________________
You can email me at karen@karensquiltedcreations.com
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