Order Form. Please return this form with your washed clothing and payment (50% now, 50% prior to shipment of finished quilt.)

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1 Order Form Please return this form with your washed clothing and payment (50% now, 50% prior to shipment of finished quilt.) I will use as much of each piece of clothing as possible. If I don't use a piece, I will return it with the quilt. I do not return remnants/ pieces of outfits. Additional fabrics may be added if necessary. YES - you can send extra pieces, up to double the amount listed as the minimum! I love extras & will use as many pieces as I can fit, but it is always helpful to set aside your MOST important items in a separate bag so I can make sure those "make the cut!" Please choose a quilt size/price: Baby/Toddler/Children's Clothes Quilts Small Throw/Crib Quilt: 40" x 54" - Requires about Most Popular! Large Throw Quilt: 50" x 60" - Requires about Twin Sized Quilt: 63" x 87" - Requires about Full Sized Quilt: 81 x 87" - Requires at least Queen Sized Quilt: 90 x 100" - Requires at least King Sized Quilt: 110 x 100" - Requires at least 100 $550 $725 $975 $1125 $1350 $1550 Teen/Adult T-Shirt & Memorial Quilts Small Throw Quilt: 40" x 54" - Typically requires about 10 adult t- Large Throw Quilt: 50" x 60" - Requires about 15 adult-sized T- Twin Sized Quilt: 63" x 87" - Requires about 20+ adult-sized T- Full Sized Quilt: 81 x 87" - Requires at least 30+ adult-sized T- $550 $725 $975 $1125

2 Queen Sized Quilt: 90 x 100" - Requires at least 40+ adult-sized T- King Sized Quilt: 110 x 100" - Requires at least 50+ adult-sized T- $1350 $1550 Tooth Fairy Pillows, Throw Pillows & Pillow Shams: Most Popular! Baby Clothes Tooth Fairy Pillow: 8"x6" - Requires about 5 additional pieces of clothing (6-7 if not ordering a quilt), & it's cutest if one piece of clothing has an outside pocket! Baby Clothes Throw Pillows: 16"x16" - Requires about 6 additional pieces of clothing (8-9 if not ordering a quilt) Baby Clothes Standard Pillow Sham: 32"x25" - Requires about 5-10 additional outfits (10-15 if not ordering a quilt) T-Shirt/Memorial Throw Pillow: 16"x16" - Can be made from one large shirt or a combination of several pieces of clothing T-Shirt/Memorial Standard Pillow Sham: 32"x25" - Requires about 5 additional pieces of clothing $75 $100 $125 $100 $125 Extras/Upgrades Use "Minky" Fabric for Backing (instead of "soft n' cuddly" flannel) Add digital image to memorial quilt (simply it to contact@jellybeanquilts.com) $25/Throw, $50/Twin, $75/Full $10/image Applique Child's Name/ Other Words onto quilt: $50/word Name or other word to be appliqued: Discounts (can't be combined together - sorry!) Order 2 or more quilts, receive a 10% discount! -

3 All previous customers get a 10% discount! Military Discount - Please contact me for a special discount if you or your spouse serves/has served! - - Subtotal Shipping Standard Shipping - 1 quilt $15 Shipping - additional quilts or pillow with a quilt $7 International Shipping - I am more than happy to ship internationally; just contact me for a price! (I can always add it on at the end.) Pillow Shipping - per pillow, no quilt ordered $7 Total Price (Quilt + Shipping) Payment & Shipping Information Billing Address Name: _ Street Address: City, State and Zip Code: Phone Number: Address: Shipping Address (if different than above): Name: _ Address:

4 City, State and Zip Code: Payment: 50% due at the time of order, and the remainder due prior to shipment of your completed quilt I will pictures & a final invoice when it s finished. Initial payment amount: $ Check or Money Order Cash (meeting in person only) PayPal PayPal Address: Credit/Debit Card (circle one): V/M/AX/D Name on Card _ CC # _ Exp Date CSV # How did you find Jelly Bean Quilts? Searched on Google/other search engine Facebook Pinterest Blog or Website: Friend Other: Additional Comments/ Instructions:

5 Please Ship Clothes, Order Form & Deposit to: Jamie Wilson N Daisy Mountain Drive Suite Anthem, AZ **Note: This address is a UPS Store account I have for my business, which means your package gets delivered to the UPS Store, they text me when it arrives, and your package stays with them under lock & key until I show ID & pick up. So have no worries! :)

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