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Cape Haze Quilting Order Form

               2645 Eagle Crest Court,  Holiday, FL 34691-7807
Your Name: Date:
Street Address 1: Day Phone:
Street Address 2: Evening Phone:
City: Email Address:
State: Zip:
Describe your dream quilt: Write the description below. Do you have a pattern name? a magazine picture?
What is your color pallet? specify color(s):  
Paint store strips are an easy way to match colors. Submit the strips with your order. Or send a fabric swatch
Embroidered Inscription
(additional fee)
Write the inscription below.
Picture included?
The number of  photos you are sending
Original photos will be returned with the finished quilt.
Permissions:  Yes, you have my permission to add my quilt and comments to the web site
Not at this time.
Deposit: I have enclosed a check or money order for my $50 deposit
I will make my $50 deposit via Paypal. (We will email your bill after recieving your quilt)
Approval and payment schedule We will provide a grid drawing of quilt pattern for your approval and a written estimate prior to starting work. Once the details are settled and a final price agreed upon, we ask for 35% of the final price down, an additional 35% when the top has been completed and the remainder when the quilt is ready to ship. We will send you photo's of the progress
One last thing: Print this form and mail to us with your color choices.