Cape Haze Quilting Longarm Order Form

2645 Eagle Crest Court, Holiday, FL 34691-7807

Your Name:		Date:
Street Address 1:		Day Phone:
Street Address 2:		Evening Phne:
City:		Email Address:
State:		Zip:

Quilt Size and brief description of what you have in mind for the quilting::

inches wide inches long

What would you like on the embroidered label?
(Additional Fee)

Services Requested:

Edge to Edge Pantograph
Edge to Edge Dense Pantograph
Custom
I'm not sure; let's talk about it

Squaring up Back $10.00
Seam Back (each Seam) $10.00
Pressing a top or back $10.00/service
Basting only

Batting:

Warm and Dream Natural Cotton batting Hobb's 80/20 Cotton/Poly blend batting
I am providing batting

Specify Thread Color (s):

Binding:

I would like machine binding services, front only.
I would like machine binding services, front and back.
I would like binding services, machine front and hand sewn back.
If selected, remember to send fabric per the chart on the Finishing Touches page

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)

Permissions: May we add your quilt and any job comments to the web site?

Yes, you have my permission
Not at this time.

First Time Customer
Referred by:

Apply 10% Discount to the Quilting Services on this order

One last thing:

Print this form and mail with your quilt top and backing