Custom Quilt Intake Form

First name

Last name

Email

Phone

Address

Size of Quilt

Design

Mosaic - with borders between shirts

Mosaic - no borders between shirts

Checkered - with borders between shirts

Checkered - no borders between shirts

Unique Custom Design

How many items of clothing (example: t-shirts)?

Back Fabric

Gray (Light or Dark)

Black

Blue (Light or Gray)

Custom (another color or fabric)

Would you like to keep the scraps?

Yes

No

Are you local or not-local to Raleigh NC?

Local to Raleigh NC

Not Local

Do you have any design preferences or inspirations?

Time Frame: Do you have a tight time frame? If so, I can accommodate for a rush fee of $50-$300 (depending on the size of the quilt). The quilt will be completed in approx. 3-4 weeks.

Any questions, concerns or special requests for your quilt?

Does Jilly Bean Sewing have permission to share photos of your quilt on the website and/or social media?

Yes

No

How did you hear about Jilly Bean Sewing?

I understand a $85 non-refundable deposit is due before the consultation, is NOT included in the price of quilt and holds my spot in the queue.

I understand quilts take 2-4 weeks to make the quilt and wait list is dependent on the season.

I understand that once my quilt is shipped/picked up, Jilly Bean Sewing is no longer responsible for the package/quilt.

Next Step: Schedule a Consultation @ this link: https://calendly.com/jillybeansewing

Last Step: $85.00 Deposit due BEFORE the consultation date. Type of Payment:

I have read and understand Jilly Bean Sewing's Shop Policies

I have read and understand this form in it's entirely. Please type your name as a signature. Once you submit this form, Jilly Bean Sewing will contact you to schedule a 30-45 minute consultation within 48 hours.

Date