Please print this form and include it with your order.

Lakeside Custom Machine Quilting
1255 Ginger Road
Lake Ozark, MO 65049-6143
573-280-6152

QUILTING PATTERN_________________________________  Or  QUILTER'S CHOICE_________

1ST THREAD COLOR(NO CHARGE)________________________ Or BEST MATCH____________

ADDITIONAL THREAD COLOR
 ($5.00 FOR EACH ADDITIONAL THREAD COLOR)______________

BATTING (PLEASE CHECK ONE):
CUSTOMER SUPPLIED______________________
HOBBS HEIRLOOM PREMIUM COTTON (1/8" loft)  _________  ($0.0025 per square inch)
HOBBS POLYDOWN  (1/8" loft) _________  ($0.002 per square inch)
HOBBS 100% POLYESTER (1/4" loft)  __________ ($0.002 per square inch)

BINDING SERVICE (PLEASE CHECK ONE):
NO BINDING SERVICE_________
BINDING
MACHINE SEWN TO FRONT OF QUILT  ($0.90 per linear foot)   ______
BINDING
MACHINE SEWN TO FRONT & HAND SEWN TO BACK OF QUILT  ($2.00 per linear foot) ____

PLEASE PROVIDE A DESCRIPTION OF YOUR QUILT____________________________________

_______________________________________________________________________________

________________________________________________________________________________


SIGNATURE__________________________________        DATE_________________________

  • Please make sure your backing and batting (if applicable) are at least 6 inches wider
    and 6 inches longer than your quilt top.
  • If binding service is requested, please provide one yard of fabric.  All unused fabric
    will be returned to you.

Send quilt top, backing, batting (if applicable), binding fabric (if applicable), and this order
form to:
Lakeside Custom Machine Quilting
1255 Ginger Road
Lake Ozark, MO 65049-6143

Please call 573-280-6152 if you have any questions.

Use the back of this form for any additional directions or comments.

Thank you for your business!
NAME________________________________________________________________

ADDRESS_____________________________________________________________

PHONE__________________________ EMAIL________________________________