RTQ Order Form

Print, complete and submit this form with your quilt.

For an estimate, please complete this form and either mail or e-mail it to RTQ

Name: ____________________________________________________________________

Address: ___________________________________________________________________

City: _________________________________ State: ________ Zip Code: _______________

Phone #: _____________________________ E-mail: ______________________________

Description of the submitted quilt: ________________________________________________

___________________________________________________________________________

Top Size: _________" x _________"

Back Size: _________" x _________" (Remember the back should be 6" wider and longer than the top.)

Do you wish RTQ to supply backing for your quilt? Yes _____ No _____

Quilting design choice: _________________________________________________________

Border design: _______________________________________________________________

Batting supplied by customer? Yes _____ No _____

Batting provided by RTQ: Hobbs 80/20 _____, Polyfil _____ or Wool _____

Thread Choice: Cotton/Poly _____, Cotton _____, Mono _____, Other _______________

Thread Color: Top of quilt __________________ Back of quilt __________________

Do you wish to have RTQ bind your quilt?: Yes _____ No _____

(If yes, please include the material for the binding.)

Do you wish RTQ to include a hanging sleeve?: Yes _____ No _____

(If yes, please include the material for the sleeve.)

Your finished quilt will be sent by USPS Priority Mail and insured for $200.00. If you wish it to be insured for more, please indicate the amount here: _______________

May RTQ have permission to use pictures of your finished quilt on this web site or in our publications? Yes _____ No _____

Signature: ______________________________________________ Date: ___________

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e-mail jan@rustythimble.com