Honeysuckle Quilt Company

3221 Rosemary Ave.

Roseburg, OR  97471

541-941-3587 

                 Order Form


Name______________________________________
Phone_________________Email________________
Quilt top measurement  _____ inches X _______inches
Description of quilt____________________________
Quilting pattern ______________________________
Thread color _________________________________
Batting provided   Yes _______  No ________
(Batting will be provided at an additional cost)
Special notes ______________________________
Estimate $__________ Batting $___________
Total $_______________________

***We will call you at the number above when quilting is
completed.
*** Quilts will be retuned to you untrimmed.
*** Binding services are not provided.