| PIONEER QUILTING 732 Mill Springs Road Jonesborough, Tn. 37659 423-753-7154 Complete One Form Per Quilt! |
| Name:_____________________________________________________________________ Shipping Address:____________________________________________________________ City:___________________State:_______E-mail:__________________________________ Phone: (H) (____)_______-________(w) (____)_____-______(cell) (____)_____-______ Quilt Top Name & Size:_________________________________(w)_____in. x (l)_____in. (or I will measure it for accuracy) Quilting Designs:*_________________overall; *name the design(pantagraph/edge to edge) _________stippling_________custom outline; check which quilting design Borders:___________________________________________________________ (special requests or instructions-$15.00 charge to turn quilt to complete borders) Batting: ______customer provided______poly/cotton_______hobbs cotton heirloom Backing: ______customer provided______natural muslin_____bleached muslin Threads: _______solid color ________variegated _________I choose Binding/Hem: ___hem____$.08 an inch double sewn binding (customer must provide fabric for binding) ___$.12 an inch for curved___$.18 for hand binding Misc. Charge: $15.00 per hour for pressing, repairs, washing, etc. Minimum quilting charge is $30.00. Return Shipping: ___UPS___US Postal___Other___extra insurance____how much Basic shipping & handling starts at $15.00 each quilt w/ $200 insurance. Priority, additional insurance is extra Payment: I will call or e-mail you as soon as I receive your quilt and give you a total. Then you can mail a check to me. I only accept cash, checks, or money orders. *Please make sure quilts are free from perfume, smoke, pet hair, etc. They will be extra charges for removal of this items. |