SIGNATURE QUILT ORDER FORM

Choose style and # of blocks below: 

SQUARE-IN-SQUARE STYLE:

This pricing is base on a 6" Quilt Block with 3" pieced sashing and 3" borders.

  #of Blocks Layout Approx. Finished Quilt Size

Price
___   9 blocks 3 x 3 36” x 36” Wall Hanging $175.00
___ 12 blocks 3 x 4 36” x 45” Throw/Wallhanging $225.00
___ 20 blocks 4 x 5 45” x 54” Throw $315.00
___ 24 blocks 4 x 6 45” x 63” Throw/Lap $375.00
___ 30 blocks 5 x 6 54” x 63” Lap $450.00
___ 42 blocks 6 x 7 63” x 72” Lap $540.00
___ 48 blocks 6 x 8 63” x 81” Twin $625.00
___ 54 blocks 6 x 9 63” x 90” Twin $700.00

 

MAD FLOWER POT STYLE:
 
This pricing is base on a 6"x 8" Quilt Block and 6" borders.

  #of Blocks Layout Approx. Finished Quilt Size

Price
___   9 blocks 3 x 3 32” x 38” Wall Hanging $225.00
___ 12 blocks 3 x 4 32” x 46” Wall Hanging $315.00
___ 20 blocks 4 x 5 38” x 54” Throw $375.00
___ 24 blocks 4 x 6 38” x 62” Throw $450.00
___ 30 blocks 5 x 6 44” x 62” Lap Quilt $540.00
___ 36 blocks 6 x 6 50” x 62” Lap Quilt $625.00
___ 42 blocks 6 x 8 50” x 78” Twin $700.00

 

Choose Color Scheme:

___ Blues ___ Greens ___ Browns ____  Multi-Color Scrappy

 

OPTIONAL PHOTO BLOCK: Substitute a photo for a signature block for an additional $10.00 each.

  

Customer Billing Information:

Name: _____________________________________________________________________

Address:____________________________________________________________________

City, State and Zip Code: _____________________________________________________

Phone Number: _______________________Cell phone #____________________________

E-mail address: ______________________________________________

Shipping Information (if different than above): 

Completed quilt will be:   ___ shipped   or  ___ picked up

Name: _____________________________________________________________________

Address: ___________________________________________________________________

City, State and Zip Code: _____________________________________________________

Order Summary

  Quilt Total       $_________
  Optional Photo Block ($10.00 each)    $_________
  Subtotal       $_________
  Sales Tax-6.25% Mass. Residents Only $_________
  Shipping       $_________
           
  Total Order     $_________

Payment Information
$100.00 DEPOSIT is due at the time of order.

Final payment is due prior to shipment of your completed quilt.
You will receive an email notification when your quilt is ready and arrangements will be made for final payment at that time.

__  $100.00 Deposit   

Payment Method:

___ Check or Money Order Included With Order Form


OR

___ Charge my credit card:    ____ MasterCard      ____ Visa

Account Number        __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __ __

Expiration Date:        __ __ /__ __

3-digit CVC    __ __ __    (from back of card)


Name as it appears on Card (please print) ________________________________________ 

Signature ___________________________________________________________________

Enclose this order form and payment with any optional photos photos and mail to the following address. An email confirmation will be sent upon receipt of your order.

MAIL TO:
Mad About Quilts
574 East Street
Mansfield, MA  02048

Phone: 774-254-2629