1968
Gordon St., Guelph, Ont. N1L 1G6 Tel : 519 836-9388
cell : (416) 768-3775
Customer Information:
___________________________________________ Date received:
_________________________________
___________________________________________ Estimated Due Date:
____________________________
___________________________________________ Name/Type of Quilt:
____________________________
Tel: daytime: (____) __________________ Quilt
top Length: L: ______ , Middle ______
, R _______
Tel: evening: (___)
___________________ Quilt top
Width: Top_____, Middle ______
Bottom_____
Average Size of Quilt top: Length _______ x Width _______ / 144 = ______________ sq.
ft.
Quilting: Edge to
Edge □ Custom
□ Border □ Basting □
Description: _________________________________________________________________________________________________
___________________________________________________________________________________________________________
Comments:
_________________________________________________________________________________________________
___________________________________________________________________________________________________________
Is the customer supplying
any of the following materials? Charge if applicable:
Batting Yes □ No □ Size and Type:
________________________________________________________________ $ ________
Backing Yes □ No □ Length______ x Width ______
Type_____________________________________________ $
________
Thread Yes □ No □ Description:__________________________________________________________________ $
________
Sub-total materials: $ __________
Quilting:
__________sq. ft. @ ___________ per sq. ft = $___________
Mounting fee $ 35.00_____
Remounting fee
(Custom Border quilting) $ ___________
Machine Basting: $ ___________
Quilt Doctoring charge: $ ___________ Sub-total quilting: $___________
Shipping / Handling $ ___________ Sub-Total: $ ___________
HST 13%
HST # 86587 8011 RT0001 $ ___________
TOTAL: $___________
Deposit made: $ ___________
Balance due: $___________
To be picked up by or delivered to owner on: ________________________ Delivery via:
___________________
Please note: Horizons liability is limited to cost of
quilting only.
_______________________________________________________________________________________________________
I approve of the above instructions and am
aware of the total cost of $ __________
Customer signature: _________________________________________ Date: ___________________________
Quilt received
back:
Customer signature: _________________________________________ Date: ___________________________