Order Form

Order Form

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Please fill out one form for each quilt. In order to avoid any nasty mix ups, remember to include a copy of the order form with your shirts.

Important Note: Mark each shirt with "front", "back", or "both". Otherwise I will choose the side used in the quilt.


Name:		City:
Address:		State:
Address:		Zip:

Provide two of the following:

Phone Number	Alternate Phone Number	Email address

Your Order

Description and Price	Totals, Please transfer over.

Upgrades for your quilt Machine Stitching on Quilt $200.00 Extra Fluffy Batting $25.00 Rod Pocket $15.00 Fabric Provided by PSHQuilts $60.00 Any Adjustment to a Shirt $6.00
Shipping $18.00 per quilt
Subtotal
Less Down Payment
Amount Due COD upon completion

Information for the quilt label:

To:
From:
Special Date if any:
Special inscription such as Happy Birthday or Congratulations

Additional Comments and requests

Signature:

PSHQuilts reserves the right to use photos of clients quilts in advertising without compensation.

Print this form and send it with your shirts.

Ship your shirts and other materials to the address below or contact me for a street address.

Patsy Howard

P. O. Box 915, Snellville, GA 30078

Email Patsy, 770-985-1305