Order Form | Beta Blocks Quilting

First name

Last name

Phone

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Quilt Style

Grid/Checkered without fabric strips between shirts

Grid/Checkered with fabric strips between shirts

Mosiac without fabric strips between shirts

Mosiac with fabric strips between shirts

Custom Design

Do you want to keep the scraps?

Yes

No

Do you have any design themes or inspiration?

Do you have a deadline for this quilt?

Does Beta Blocks have your permission to use photographs of your quilt on our website and social media?

Yes

No

I understand there is a $75 nonrefundable deposit required to be placed in my quilt queue.

I understand that quilts take 2-3 weeks to make depending on my schedule and that I have up to a 3 month waiting list.

I have read and understand Beta Blocks Shop Policies and Quilt Prep suggestions.

I understand that once my quilt is picked up/shipped that Beta Blocks is not responsible for the package/quilt.

I have read and understand this form in its entirety. Please type your name in the field below. You will be contacted via phone to schedule a consultation regarding your quilt!