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Anniversary Quilt Profile

Complete the form below after receiving your order confirmation e-mail.
You may skip any fields which are not applicable.
You will receive a copy of this via e-mail for your records.

Your Name:

 required
Your Email: required
About the Wife
Full Name of Wife
Maiden Name
Wife's Birthplace:  
    City
    State
    County
Ancestry Heritage (e.g. Irish, Swedish,etc.)
Parents full names
please separate with commas
Grandparents full names
please separate with commas
About the Husband
Full Name of Husband
Husband's Birthplace:  
    City
    State
    County
Ancestry Heritage (e.g. Irish, Swedish,etc.)
Parents full names
please separate with commas
Grandparents full names
please separate with commas
Children
Wedding Date

Date of Anniversary celebration

Children and Birthdates
please separate with commas
Life/family milestones
please separate with commas
Values
(church, politics, etc.)
Achievements
Hobbies
Quilt presented by: (if quilt label ordered)
Other
Please describe any other details including color preferences if any.
May we photograph your quilt for use on our website and in our portfolio?
 
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Celebration Quilters •2470 Briarwood Drive • Burlington • Wisconsin • 53105 • 262.248.9507
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