Order Form

Your Information:

Name	_______________________________________________
Street Address	_______________________________________________
City, State, Zip	_______________________________________________
Phone Number	_______________________________________________
Email Address	_______________________________________________

T-shirt Information:

Number of T-shirts	___________
Sashing, Border and Backing Color	_________________________________
Accent Color if desired	_________________________________
Quilting Design (Meander or Swirls)	_________________________________

Special Instructions:

Are there any T-shirts on which you would like to use both sides?	________
Are there any logos that you would like combined into one quilt block?	________
If you answered yes to either question, please pin a note to the T-shirts on which you would like this done.

Important Instructions:

Please stack T-shirts so that the side you want used in the quilt is facing up. If you want to use both sides, pin the note to the side that is facing up.

Mail T-shirts, order form and $100 deposit* to:

Sharon Dixon
3020 N. Saddlebrook Lane
Katy, Texas 77494

* Please make checks payable to “Sharon Dixon”.

Katy T-Shirt Quilts 3020 N. Saddlebrook Lane Katy, Texas 77494