Cape Haze Quilting T-shirt 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:

Quilt Syle:

Traditional
Variable

Brief Description:

Size Requested / shirts required:

Lap-12 shirts
Stadium-16 shirts
Twin-20 shirts
Dorm Twin-24 shirts

Full / Double- 25 shirts
Queen-30 shirts
King-36 shirts
Athelete's Choice-49 shirts

Specify Binding Color:

Choose for me

Specify Sash Color:

Choose for me

Specify Back color:

Choose for me

Embroidered Inscription
(additional fee)

Write the inscription below.

Photo Transfers
(additional fee)

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 shirts)

One last thing:

Print this form and mail to us with your Shirts.