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Gem State Quilting Order Sheet

Please fill out the following order sheet. I will contact you within 24 hours to discuss shipping and such with you.

Please before you submit this form print a copy of it for yourself there is a

print link next to the submit button .

After your order is successfully submitted you will be re-directed to the home page.

Thanks, Robin

First Name:
Last Name:
Address:
City:
State:
Zipcode:
Telephone:
EMail Address:
Width:
Length:
Batting Options:
Quilting Design : click here to see available pantographs
Thread Color:
Requested Completion Date:
Please Describe Your Quilt:	Description
A photo may be posted:	Yes No
	PRINT YOUR COPY

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