Order Form

MEMORIES STITCHED IN TIME

Judie Brown

50 Knoll Road

Coatesville, PA 19320

610-383-4708

YOUR INFORMATION:

Name ______________________________________

Street Address_______________________________

City, State, Zip Code___________________________

Phone_______________Cell Phone________________

Email_______________________________________

Please make sure your email address is legible and accurate as most correspondence will be via email.

QUILT INFORMATION:

Desired quilt size:___________________________

(Use lap, twin, full or whatever size the shirts make)

Any specific colors:__________________________

Gender of quilt recipient: Male Female

DATE I WAS HOPING TO RECEIVE FINISHED QUILT:

____________________

COMMENTS: