Intake form for long-arm quilting

Quilt Intake Order Form 2015
Date received ____________ Date Requested by ___________

Name:________________________________________________________

Home Address:________________________________________________
  ________________________________________________

E-Mail_________________________________________________

Phone: ______________________________(Home)  ______________________________(Cell)

Quilt Information: Price Level: ($40.00 minimum on all orders)

Size: ________in. x ________in. = _________sq. inches

____ Basting Only

____Overall Pantograph Pattern  ________________________________________________
____Quilting Pattern Choice:________________________________________________________
Batting:  ____ Customer Provided         

       ____ purchased from quilter (Current market priced charged) Type Batting ______________________

Backing: Must be 4" or larger on all sides

____Customer provided  

____kona solid provided by longarmer

seaming _____ + cost of fabric ____= _______ total (seaming of backing 10 dollars per seam )

Ironing:

___ 20 dollars per hour min charge 20 dollars

Thread Brand

First color_____________________________ Color # ______

Color # 2 __________________________  Color #______

______ number of colors (no additional charge for first color, for each additional color used there will be a ten dollar charge)

Special Instructions:

Binding service: 2 dollars per liner foot  # of Feet ________________ cost_______________

____Cut and pieced, machine stitched to front, trimmed, and hand stitched to back with    mitered corners to finish

Hanging Sleeve: _____Yes  _____No Charge is two dollars a liner foot.

At no charge would you like your quilt trimed.   YES____    NO____

ESTIMATED TOTAL: Srevices _________+ products ___________= total ______________
Payment is due when the quilt is picked up, or before the quilt is shipped.

Customer signature: ______________________________________________________

Thank You for your order!

Marlene Steimel