Document 6462305

This
form is effective from 2/15/2014
2/13/2014 and supersedes all previous forms
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Print Form
CLEAR FORM
Your Name:
Street:
City:
State:
Daytime Phone:
Zip:
TEXT / Cell Phone:
When calling this number, should we be dJscreet/confidential?
YES
NO
Email Address:
How did you hear about us?:
Completed quilt will be:
Shipping Address
If you are not in the lower 48 states, you will be responsible for additional
:
$100 deposit included
PLEASE BILL THIS CARD UPON COMPLETION OF MY QUILT
*
PayPal
Check
Please bill my credit card
Account #
Name on Card
VISA
MasterCard
Discover
Size $Price (# Of T-Shirt Squares)
Dorm Twin $375 (24)
Wall $250 (9) Lap $275 (12) Stadium $325 (16) Twin $350 (20)
California King $475 (42)
Full $400 (25) Queen $425 (30)
King $450 (36)
Runner’s Delight $575 (49)
Graduation Package $299 (Lap Quilt & pillow or tote bag)
No Thanks
Script
Block
Color:
>
Message
We complete each custom t-shirt quilt in the order it is received. Our average turn
around time is -6 weeks. This can vary with our busy seasons, which are
Graduation and Christmas
Show your love
with an American
Sign Lanquage
“I Love You” hand.
This internationally
known symbol for
love can be placed next to your
personalized embroidery.
Keepsake Theme Quilts can
share my finished quilt photo
online:
Yes
No
This
form
and supersedes
all previous
forms forms
This
formisiseffective
effective2/15/2014
from 2/13/2014
and supersedes
all previous
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Front:
Cotton only
# of T-shirts/Sweatshirts/Jerseys/Shirts/Blouses/Polos
Other, please describe
Other, please describe
Other, please describe
>
Back:
Cotton or Flannel (circle one)
>
Binding:
Cotton only
Yes, I would like the unused fronts/backs of my shirts returned to me.
No, I do not need the unused fronts/backs returned to me.
>
* $25 extra for binding in sky blue, brown,
country blue, orange, pink and sage
Please email me a picture of my t-shirt quilt
squares on the design wall for my approval.
I want KTQ to arrange my t-shirts.
I want to arrange my t-shirts
YES
Click here for t-shirt guidelines
NO
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You can make your t-shirt quilt unique by customizing it with any of the following special features. Examples of clever ways
to incorporate more items include: $ per special feature
Combine two or three shirts into one square
Combine the front small logo or sleeve with back of shirt
Combine up to 4 small logos into one square
Includes collars of shirts
Includes tank tops, sweatshirts
Total
x $8 =
gives your quilt a splash of
color at the intersection of each square
Wall - 4
Lap - 6
Stadium - 9
Twin - 12
Dorm Twin - 15
Full - 16
Queen - 20
King - 25
California King - 30
Runners Delight - 30
Subtotal cost of non t-shirt items
Number of baby clothes squares
Block Color
>
Number of
.
Pictures may fade with extended washing.
1
2
4
Total
- 8 x 10 = 1 sheet
- 5 x 7 = 1 sheet
- 3 x 5 = 1 sheet
x $10 =
Subtotal cost of $10 items
. Please check with the manufacturer of the patches for the washing instructions.
Number of patches
Total
x $3 =
Subtotal cost of patches
The sleeve is used to hang your quilt and can only be added to Wall, Lap Stadium
Cost of Quilt selected
+ Total cost of add ons
+
=
size quilts.
Total estimated cost of quilt