| Longarm Quilting by Nancy 3186 Parcher Road Bucyrus, Ohio 44820 Phone: (419) 562-4886 |
| Your Name: _______________________________________ |
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| Address (Line 1): _______________________________________ |
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City and State: ______________________________________ |
Zip/Postal Code: ________________________________________ |
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Phone Number: _______________________________________ |
Best time to call: _______________________________________ |
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Email (optional): _______________________________________ |
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Quilt Top Pattern/Description: _______________________________________ |
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Special Instructions: _______________________________________ |
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Thread Color: _______________________________________ |
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Quilting Design Choice(s): _______________________________________ |
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There will be a minimum charge of $20.00 for any project. |