NAME________________________________________________________________________________

ADDRESS____________________________________________________________________________

CITY________________________________________________STATE______________ZIP__________

PHONE________________________________EMAIL_________________________________________

QUILT TOP SIZE: WIDTH_______________ LENGTH____________
BACKING SIZE: WIDTH_______________LENGTH____________

PATTERN CHOICE_______________________________THREAD COLOR (TOP)_______(BACK)_______

Special Instructions ___________________________________________________________________

_____________________________________________________________________________________

$ _________ ESTIMATED QUILTING CHARGE

$ _________ OTHER __________________________________________________________________

$ _________ BATTING (Size_____________________)

$ _________ THREAD VARIEGATED $5 - $7 EXTRA (on top side only)

$ 15.00 RETURN SHIPPING & INSURANCE*

$ _________ SUB TOTAL


$ _________ LESS 50% DEPOSIT

$ _________ BALANCE DUE UPON COMPLETION

* Return shipping includes up to $100.00 insurance coverage on lost, damaged or stolen items.
Order Form
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Accents Quilting Studio
Returned Check Fee $25.00
Note: We will do our best to smooth out tucks, puckers and stretched areas.
Preparation
Mail Order Form, Check & Quilt to:
Accents Quilting Studio
24802 Gleneyrie Drive
Southfield, MI 48033
(248) 354-5560
I, the undersigned, hereby authorize the work to be done on my quilt. I understand that I am financially responsible for the cost of services rendered by Accents Quilting Studio and for all materials used in this process. I understand & agree to the quilting instructions, pattern choices & thread color as stated herein.

Sign________________________________Date____________