Name
              
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              Email
              
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              Address
              
             
          
                If you are shipping from USA, please contact Melissa before sending your parcel for additional instructions.
                
                  
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              Phone
              
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              How is this quilt getting to Lakeside Longarmer?
              
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              Quilting Design - Note: Custom Quilting Currently Unavailable
              
             
          
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Quilt Description
              
             
          
                Please indicate quilt top dimensions and desired quilting design if you have chosen already, as well as any other details you think might be useful, such as pattern/designer, if the top and/or backing are directional, etc.... 
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Batting
              
             
          
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Binding Service
              
             
          
                If you purchase binding services, please send binding prepared from 2.5 inch wide fabric.  NOTE: If you would like me to prepare the binding using remaining backing fabric, or other fabric you have provided, an additional $25 fee will be added.
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Anticipated Date of Shipping
              
             
          
                
                
                  
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              Do you have a specific deadline? If so, please enter.
              
             
          
                I will contact you if there are any issues with this date.
                
                  
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              Some Housekeeping
              
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                Please check all that apply.
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Photograph Sharing
              
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                May I share your photos online?
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If yes...
              
             
          
                Please provide any pertinent details regarding photo sharing, including Facebook/Instagram accounts you would like tagged, date the photos may be made public (useful if the quilt is a gift.)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Gift Certificate Number
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Promotional Code
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
         
      
      
      
      Thank you! I’m excited to see your quilt top in person. 
If you have chosen to send your quilt through the mail, my mailing address is:
Melissa McIntosh
161 Johnston Road
Mindemoya, ON
P0P 1S0    Canada   
Feel free to email me at any time for additional information:  lakesidelongarmer@gmail.com