Name:____________________________________________________________

Mailing Address:____________________________________________________

City, State, Zip:____________________________________________________

Phone:____________________________________________________________

E-Mail:____________________________________________________________

Visa ___ MC___ Check Enclosed ___

Credit Card # __________________________________ Exp. Date: __________

Signature:______________________________________

Note: A non-refundable $25.00 deposit required to reserve a quilting date.

Name of quilt, color, description and size (in inches):________________________________

____________________________________________________________________________

Quilting pattern:______________________________________________________________

Thread color:_______________ (if bottom and top thread contrast, there will possibly
be "tracking" on the lighter side).

Batting preference : (supplied, 100% Cotton, Polyester):_____________________________

Backing (must be 6" larger than the top) Seam(s) run horizontal or vertical? ____________

Backing to be supplied Sunshine Carousel?____________________________

Seam direction (horizontal, vertical, no preference):________________________________

______Check here if you wish to be contact prior to quilting.

 Machine Quilting Order Form Continued on page 2

Machine Quilting Order Form Page 2

To be completed by SCQS:

Size________ X _________ = _______Sq. In. X________ per inch =$_______
(min. charge $35.00)
Additional charges:

Batting_____________ Backing yds. ________X_______=________

Binding_____________ Pressing______________

Squaring Backing_____________ Seaming Backing $5.00 per seam=_____________

Quilt Basting Lenght_______xwidth________x .005=_____________

A fee of $15.00 covers return shipping and insurance ($300.00 value). Additional insurance for $.50 per $100.00_________________

Total_____________________

You will be notified of final charges via e-mail or phone prior to completion of your quilt.

We accept checks, Visa, MasterCard
Thank you for your business and we hope to be able to serve you in the future.
Sunshine Carousel Quilt Shop 
95 Shaw Brook Road
Grantham, NH 03753
www.scqs.com