Name *

First Name

Last Name

Phone

Please enter your mobile phone number if you wish to communicate via text (questions, photos, updates etc).

(###)

###

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JRoussel.Creations may use images of your quilt in their promotional material *

Yes

No

Completion Date *

Please indicate the date you would like to have your quilt completed and returned to you. General turnaround time is 2 weeks, though rush orders are possible *rush fees may apply*

MM

DD

YYYY

Backing Fabric Acknowledgement *

In order to give you the best results possible, please ensure your backing fabric is at least 8 inches wider and longer than your quilt top. This gives me at least 4 inches of margin on each side of the quilt top. Your backing can be larger, but not smaller.

I acknowledge my backing fabric meets the minimum size requirements for my quilt top(s).

Address

Please enter your address for return shipping purposes and to have it included on your final invoice.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country