Your name

Mailing address

City    State    Zip code

Phone (please include area code)    Ext.

E-mail address (please doublecheck carefully)

Total amount due $
Please be sure to add the appropriate shipping and handling charge(s) to the total for the product(s) ordered.
Washington state residents, please add 7.6% sales tax to the merchandise total for your order (exclude S&H charges from sales tax calculation).

Payment method PLEASE SELECT Credit Card Electronic Check Money Order (payable to Family Heirloom Photo Quilts Cashier's Check (payable to Family Heirloom Photo Quilts)
Payment by Visa, Mastercard, Discover, American Express, or electronic check can be made through PayPal.
My account is customphotoquilts@embarqmail.com

ORDER INFORMATION

PHOTO QUILT, SPECIAL EDITION ELEGANT QUILT,
AMERICAN FLAG WALL HANGING

Quilt size PLEASE SELECT Pillow (1 block) - $30.00 + $12.00 S&H Special Edition Elegant Pillow (1 block) - $39.00 + $12.00 S&H Wall Hanging (9 blocks) - $99.00 + $18.00 S&H Special Edition Elegant Wall Hanging (9 blocks) - $195.00 + $18.00 S&H Flag Wall Hanging, "The Pledge of Allegiance" - $54.00 + $10.00 S&H Flag Wall Hanging, "Life, Liberty, and the Pursuit of Happiness" - $54.00 + $10.00 S&H Small Quilt (9 blocks) - $159.00 + $25.00 S&H Special Edition Elegant Small Quilt (9 blocks) - $235.00 + $25.00 S&H Lap/Couch Quilt (12 blocks) - $199.00 + $25.00 S&H Twin Quilt (15 blocks) - $250.00 + $30.00 S&H Full Quilt (20 blocks) - $395.00 + $30.00 S&H Queen Quilt (25 blocks) - $525.00 + $35.00 S&H

Color of fabric to be used for backing PLEASE SELECT Hunter Green Navy Blue Country Blue Tan Burgundy
Do not select a color if ordering a Special Edition Elegant product, or an American Flag Wall Hanging.

Number of photos
Do not specify if ordering a Pillow, a Special Edition Elegant Pillow, or an American Flag Wall Hanging.

Reproduce photos in color, black & white, or sepia? PLEASE SELECT Color Black & White Sepia

Is there a specific date you need the quilt completed?
A RUSH ORDER FEE OF $50.00 will apply to any order that must be completed and returned less than a month after the photos arrive.

Please list optional embroidered personalization, or any other special instructions:

T-SHIRT QUILT

Quilt size PLEASE SELECT Pillow (1 shirt) - $39.00 + $12.00 S&H 9 Shirt Quilt - $150.00 + $25.00 S&H 12 Shirt Quilt - $175.00 + $25.00 S&H 16 Shirt Quilt - $225.00 + $30.00 S&H 20 Shirt Quilt - $250.00 + $30.00 S&H 25 Shirt Quilt - $325.00 + $35.00 S&H

Color of fabric to be used for backing/sashings

Number of T-shirts enclosed
Both fronts and backs of T-shirts can be used -- be sure to clearly mark each shirt with the side(s) you want used.
You may include an extra shirt in case one of your shirts is stained or has a hole in it, or cannot be used for some reason.
Please indicate which T-shirt is the extra -- any unused shirt will be returned to you with your finished quilt.

Is there a specific date you need the quilt completed?

Please list optional embroidered personalization, or any other special instructions: