Quilting Request Form

Name: *
Address: *
email: *
Phone Number: *
Text Capable? *	Yes No
Overall Finished Dimensions (Inches): *
Quilt Stiching Design:
Thread Color:
Do you want us to supply batting? *	Yes No
Batting:
Binding Preparation? *	Yes No
Binding Finishing? *	Yes No
Embroidered Quilt Label? *	Yes No
Quilt Label Text (Exactly as desired):
Additional Options:
Confirm form validation code: