REQUIRED INFORMATION:
First Name: 
Last Name: 
Address:     
City:           
State:              
Zip: 
Day Phone: 
Evening Phone: 
E-mail (Optional): 
Receipt will be sent as soon as an order is received.
Currently only accepting orders from within the U.S.
All shipping and handling costs are included in the price.
Quilt: 
Bleeding Heart                                 "A" or "B"
Circle of Flowers                               "D"
Dinosaur                                             "A" or "C"
Double Wedding Ring                   "E"
Double Wedding Ring (Floral)   "D"
Little Dutch Girl                                  "A" or "C"
Little Farmer Boy                              "A" or "C"
Lone Star                                            "E"
Old Fashioned                                  "F"
Poinsettia                                            "A" or "B"
Poplar Leaf                                         "A" or "B"
Swan                                                     "A" or "B"
Teddy Bear                                        "D"
Tulips                                                   "E"
Yellow Rose                                       "A" or "B"
Quilt Class
"A"     "B"     "C"
"D"     "E"     "F"
Quilt Size
Full Size
Twin Size
Price Key:
"A" = $900.00 (Full) ------- $800.00 (Twin)
"B" = $800.00 (Full) ------- $700.00 (Twin)
"C" = $600.00 (Full) ------- $500.00 (Twin)
"D" = $500.00 (Full) ------- $400.00 (Twin)
"E" = $400.00 (Full) ------- $300.00 (Twin)
"F" = $300.00 (Full) ------- $200.00 (Twin)
 Payment Method:
Credit Card (currently not accepted)
Check or Money Order
Credit Card Information (Not necessary if paying with check or money order):
Card Name:       
N/A
Visa
Master Card
American Express
Discover
Card Number:   
Card Expiration: