Name *

First Name

Last Name

Phone *

(###)

###

####

How would you like updates

Text

Call

Email

What size quilt? *

Lap - $350 (12-16 shirts)

Large Lap - $425 (16-20 shirts)

XL Lap - $550 (20-25 shirts)

Full - $675(30-35 shirts)

Queen - $850 (40-45 shirts)

King - $925 (50+ shirts)

Other - please describe below

I have read Golden Dog Quilts Policies

Yes

I understand my t-shirts willbe cut up into different sizes and placed into different orientations to fit a mosaic, random look.

Yes

I understand a $100 non-refundable deposit is required to be placed into the Quilt Queue.

Yes

I understand if I do not deliver (via mail or in-person drop off) by the calendar date specified I will lose my spot and will go to the end of the quilt queue.

Yes