Personal Information

  Name     

  Street Address 

  City       State        Zip        Email 

  Phone             Please Contact Me by: Email Phone

Quilt Information

  Quilt Style:

Choose Style Bassinet - up to 36” x 48” Crib- 36” x 48” - 54” x 60” Youth/Lap - 54” x 60” – 54” – 72” Twin - 54” x 72” – 66” x 84” Full - 66” x 84” – 87” x 96” Queen - 87” x 96” - 100” x 100” King - 100” x 100” – 115” x 118” Extra King - up to 120” x 130” Other - Please specify in Remarks Box

Remarks:

   Bed Length   Bed Width    Drop 

   Pillow Tuck or Shams?  Tuck     Shams

   Choose a Batting  Fairfield Traditional Warm and Natural

   Color/Pattern/Fabric Samples to be received from you:  Fabrics Paint Chips Photo of Room Other

   Please choose a fabric source:  I will send my own fabric. Please provide fabric for me.

   Separate border design?  Yes    No