T-SHIRT QUILT ORDER FORM

Choose style and # of shirts below 

STANDARD- STYLE:

  #of Shirts Layout Approx. Finished Quilt Size

Price
___   9 shirts 3 x 3 49” x 49” Wall/Lap Quilt $150.00
___ 12 shirts 3 x 4 49” x 65” Throw $200.00
___ 20 shirts 4 x 5 65” x 80” Twin $290.00
___ 24 shirts 4 x 6 65” x 96” X-Long Twin $350.00
___ 30 shirts 5 x 6 80” x 96” Full $425.00
___ 36 shirts 6 x 6 96” x 96” Queen $515.00
           

If you would like to include both the front and back of a t-shirt it will be counted as 2 shirts.  Please mark all shirts with a safety pin on the side or sides that you want used.  

A pocket design or small insignia from the front of a shirt may be included on a larger block for an additional fee of $5.00 per item added.

Check One: Sashing & Border Fabric:

___ Black ___ Purple ___ Forest Green ___ Brown ___ Beige
___ Sky Blue ___ Navy ___ Royal Blue ___ Red ___ Maroon

 MAD-COLLAGE STYLE: 

  #of Shirts   Approx. Finished Quilt Size

Price
___   10-15 shirts 36”x 36” Small Wallhanging $250.00
___ 16-20 shirts 48”x 68” Throw/Wallhanging $325.00
___ 21-28 shirts 68”x 86” Twin $425.00
___ 29-36 shirts 76”x 86” Full $525.00
___ 37-45 shirts 86”x 90” Queen $625.00
 

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       $_________
  Additional Fee for Small Insignias   $_________
  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 T-Shirts


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 your t-shirts and mail to the following address. We will email you upon receipt of your t-shirts to confirm their arrival.

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

Phone: 774-254-2629