Longarm Quilting Service Intake Form

Name (First & Last)*

Email*

Phone Number*

Shipping Address (where quilt is returned)*

Shipping City*

Shipping State*

Shipping Zip*

Quilt needed by:

Rush: (Additional $50)*

Batting Options

Thread Color

Thread color on backing (if different color than top)

Stitch-out Pattern Density*

Describes your Quilt Top*

What are the dimensions of your Quilt Top*

Describe your Quilt Backing*

Is your Quilt Backing Directional*

Is your Quilt Backing Pieced?*

Does your backing have a 4" excess on all 4 sides*

May we have your permission to photograph your quilt and use it on our website or social media?*

What is your Instagram Handle

What is your Facebook Handle?

Additional Information/Special Instructions:

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