Oak Ledge Quilting
"Quilted as if it were My Own"
8 Abbey Road - Oak Ledge
East Hampton CT 06424
(860) 267-0720
send email to
dottiecyr@yahoo.com
Please Print and Fill Out This Form
Information About You
Name: _____________________________
Address: ____________________________
City: ______________________ State: ______ Zip: ____________
Phone (Home): ___________________ (Work): _____________________
FAX: ______________________
E-mail Address: __________________________________
Information About What You Want
Number of Quilt Tops Sent: ______________________
Quilt Size: Length (in inches) __________________ by (x) Width (in inches) ____________________
Thread Color: White _____ Off-White _____ Closest Color Match ______ (Check One)
Quilting Pantograph Design Selected: _______________________________
Quilt Backing Enclosed ? Yes ____ No ____ (Check One)
If No, indicate backing color choice: muslin in white _____ muslin in off-white ____
Batting Enclosed ? Yes ____ No ____ (Check One)
Special Instructions: _____________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
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