(please print out and complete one of these forms for each quilt top)

Customer Name: _______________________________________________  Phone:  ________________________

Address:  _________________________________________________________________________

              Email:   ___________________________________

Description of Quilt:                                                                                                              

Size:  ____.in x ____.in

 Edge To Edge Pattern:  _________________________Custom _______  Stipple_______ Freehand_______

Thread Color:  ____________    Specialty Varigated thread _______

Batting: Provided by you _______ Provided by O Sew Fine _____ (will be discussed with you)

Binding Services: None__________ Machine Finished_______ Hand Finished _______ Apply Only______

Charges:

Quilting:        $____________(see Price List)

Binding:        $____________(if requested---see Price List).

Batting:        $____________(if not provided by you, will be discussed in advance)

Other:          $____________(if applicable, will be discussed in advance)

Sub Total:    $____________

Sales Tax:   $____________(for MI customers only, applies only to batting)

Shipping:     $____________(insure for amount: $____________)  (final shipping costs applied on final invoice)

Total            $____________

Note:   Please review the above specifications and charges, and indicate your approval with your signature below.  All charges must be paid in full prior to delivery (see Payment Terms: $50 deposit for large quilts and $25 deposit for crib or lap size due when quilt top shipped to us and remainder due before return shipment to you).    Customer agrees to the above terms.  Customer agrees to allow Kari Ruedisale to photograph quilt(s) and use on web site.  Please make checks payable to Kari Ruedisale. 

Mail to:  Kari Ruedisale, 11178 Lochgreen Drive, Lansing, MI  48917

Customer signature:  __________________________ Date:____________