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Request/Inquiry Form
Interested in ordering a quilt or pattern? I'd love to hear from you!
First Name:
Last Name:
Phone Number:
Email Address:
Comments:


I am interested in purchasing:

Original Design - Finished Quilt
Original Design - Pattern Only
Existing Design - Finished Quilt
Existing Design - Pattern Only


Approximate quilt/pattern size desired:

Width:   Inches

Height:   Inches



I would like a pattern/quilt that contains:

Straight Lines
Curved Lines
A Mixture of Both


Attach a photo you would like used for the quilt design here
(If desired):
Custom Quilts by Jessica Jordan - cqbyjj@comcast.net