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Order Form
CLOSSON'S QUILT HOUSE
"Hand Guided Machine Quilting"
15 Maxim Street Madison, ME 04950
207-696-3257 or 207-696-3223
cqh@verizon.net
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Click here to print order form.
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Work Order Invoice#
Received ______________________________ Completed ___________________________
Name _________________________________ Address ______________________________
Phone ________________________________ Work Phone ___________________________
E-mail _________________________________
Quilt Description ___________________________________________________________
Price Formula:
Width _____ x Length ______ =Total inches @ ________ per in. = cost of quilting _______
Customer has batting? Yes ______ No ______
Batting _______________ yards at $_________ per yard = $ _______________
Thread Colors _____________________________ Thread cost $___________
Patterns:
Pantograph _______________________________ Meandering Sm ____ Med ____ Lg ____
Other Comments:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Quilting Cost $____________
Batting Cost $____________
Thread Cost $____________
ME State Tax $____________ (Tax for Maine residence only, tax figured on cost of thread and batting)
Total $____________
Checks should be made payable to: Closson’s Quilt House or
Credit card # _________________________________ Signature ___________________
Name on Card _______________________________ Expiration Date _______________
We accept US and Canada orders only.
Customer is responsible for custom charges, taxes and duties, etc. associated with orders outside of US.
Return Shipping Charges will be added to your total and will be approximately the same as what it
cost you to ship your order to us.
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Click here to print order form.
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