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Please click "GQ Order form" to print, complete and include with your order  -  GQ Order form


Print, complete and include with top and back

(Please see order preparation page prior to shipment!)


Full Name:                                                                                                                                         Date:


City & State & Zip Code:

Work Phone:                                                                    Home Phone:


Quilt name, color, description 

Quilt top size: Width X Length (per square inch = width x length)                          

Square inch total (Sq inch = width X length)

Pattern choice (please indicate by number & name):

Estimated Quilting Cost                                                                               50% deposit enclosed:

Payment Option: (check one)  Check_____  PayPal _____

Desired completion date:

Thread color preferences*                                                         Specialty Thread

(*If color of top thread and bobbin thread contrast, there may be "dotting" on the lighter side)

Batting preferences (check one): Supplied by customer ___      Hobbs Heirloom 80/20___                       

Quilters Dream 100% cotton___    Hobbs Tuscny Wool___.

Batting and Backing must be 6" larger than quilt top on all sides. If customer provided, please describe:


I authorize Jonnie Grimm of GeorgiaQuilter to complete the work listed above. I understand that I am financially responsible for the cost of services rendered by GerogiaQuilter and for all materials used in this process. If this quilt is displayed in a show or publication, I agree to credit the machine quilting to Jonnie Grimm.


Signature: ____________________________ 

You will be contacted by phone or email to discuss and confirm your order