Barbara Broshous: A Quilter's Flower Shop

Quilt Inquiry Form

If you are interested in discussing my quilts, please complete the following form so I know who you are and can contact you to discuss your interest. Check the by by the specific quilts that interest you. Then click the "Send to Barb" button after you've completed the form. When I receive your information, I will contact you by email or phone.

a. Your Contact Information:

I am: An Interested Party A collector. (Please check one*)

Asterisked items must be filled in. 'Business Name' is required only for collectors.

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First Name*:	MI:	Last Name*:
Business Name*:		Business Web Site:
Street Address*:
City*:	St*:	Zip Code*:
Phone*:		Email*:

b. Gallery Quilts You Are Interested In (Please Click Buttons to Indicate Interests):

Check boxes to note which specific quilt(s) interest you.

Home

Quilt Category/Name		Quilt Category/Name		Quilt Category/Name
Tradition With a Twist		Carrot Corners		Odds & Ends
	Q-101: Crossroads		Q-201: Mariner's Monochromatic		Q-301: Border Patrol
	Q-102: Baltimore Bouquet		Q-202: Circles & Squares		Q-302: Twilight Glow
	Q-103: Glory Bee		Q-203: Miniature		Q-303: Not for Sale
	Q-104: Quiltin' Sunbonnet		Q-204: Stars & Scraps		Q-304: Live Well ...
	Q-105: Midnight Dance				Q-305: Not for Sale
	Q-106: Sunrise, Sunset				Q-306: Not for Sale
	Q-107: Blue Genes
	Q-108: Not for Sale
Just For Fun		For Art's Sake
	Q-401: Imperial Heir		Q-501: Wright is Never Wrong
	Q-402: Swans in Watercolor		Q-502: Floral Flair
	Q-403: Parrots		Q-503: Trail's End
	Q-404: If the Key Fits ...		Q-504: Trellis in Color
	Q-405: Not For Sale		Q-505: Not for Sale
	Q-406: 12 Days of Xmas		Q-506: Second Chance
	Q-407: Not For Sale		Q-507: Gone Gogh
			Q-508: Transmuting Tradition

Please print this form for your records if you care to and email a copy to me by pressing the "Send to Barb" button. I will contact you as soon as possible.

Thank You For Your Interest... Please Come Again!

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