Longarm Quilting by Nancy
3186 Parcher Road
Bucyrus, Ohio 44820

Phone: (419) 562-4886


Your Name:

_______________________________________

 

_______________________________________

Address (Line 1):

_______________________________________

 

_______________________________________

City and State:

______________________________________

  Zip/Postal Code:

________________________________________

Phone Number:

_______________________________________

Best time to call:

_______________________________________

Email (optional):

_______________________________________

 

_______________________________________

Quilt Top Pattern/Description:

_______________________________________

 

_______________________________________

Special Instructions:

_______________________________________

 

_______________________________________

Thread Color:

_______________________________________

 

_______________________________________

Quilting Design Choice(s):

_______________________________________

 

_______________________________________

There will be a minimum charge of $20.00 for any project.

http://www.nancysquilting.com

Click the "print" button on your browser's tool bar to print a copy of this form, and be sure to complete it before enclosing it with your project. Please print clearly!