Service Request Form

Name
Street Address
Address (cont.)
City		State
Zip/Postal Code		Country
Home Phone
E-mail
Quilt Top WIDTH
Quilt Top LENGTH
Desired Design	Airplane Meander Angels Aura Autumn Oaks Baby Curls Ballet Bamboo Trellis Bear Moose Pine Birds in Flight Blossom Colorado Trail Cowboy Boots Curly Feather Dragon Flies Elephant Meander Falling Leaves Fall Splendor Feathered Frenzy Feather Meandering Feathered Wreath Fire House Flight of Fancy Football Gingerbread Boys Going Bananas Goodnight Moon Hearts Hands Hearts and Loops Heartstrings Hodges Hen House Horseshoes Ice Cream Cone I Spy Interlocking Music Jingle Bell Dance Jungle Fever Koi Lime Tree Maple Leaf Meander Mitten Meander Oak Leaf Meander Orange Peel Palm Tree Meander Pine Tree Meander Playful Kittens Ponderosa Pine Spray Provence Pumpkins Galore Pumpkin Meander Puppy Meander Puzzle Rhapsody Ribbons Roses Spin Stars and Loops Stetson Sunbonnet Sweethearts Sunflower Touch of Spring Wandering Daisies Wildflower Wandering Daisies Windblown Windy Day Wind/Water Woodgrain Free Motion - Meandering Basting
Quilting Cost	Sq Inches	@	=
I Provide Batting?	No Yes Sq Yards	@	=
Piece Backing?	No Yes Seams	@	=
I Bind?	No Yes Inches	@	=
Thread choice	One-color Variegated		=
		Sub-Total	=
Texas Resident?	No Yes (8.25 % Tax)	Tax	=
Shipping?	No Yes	Shipping	=
			=
Deposit amount	due before work begins:	Deposit	=
Final payment	due when work is complete:	Payment	=