Star Quilt Order Form

     

Star Quilts are made on the Cheyenne River Reservation by Lakota women. Quilts provide a critical income source for families. Your purchase helps provide food, clothing and pay utilities and benefits additional families when the quilter makes purchases at local businesses. Each quilt is made when your order is placed. Machine quilted.

Star Quilts represent the Morning Star as a greeting to the new day. They are given to honor friends and loved ones. Quilts are given in sympathy t families of a loved one who passed away, for a school or college graduation, for sweat lodges, for church alters, at births and weddings and other events. Star Quilts are a focal point during the Give Away, the one year anniversary of the passing of a loved one.

PRINT Name BILL To: ___________________________________________     PRINT Name SHIP TO or note" same as billing: ________________________________________

 

Billing Address: _______________________________________________     Shipping address: _____________________________________________________________

 

City-State-Zip: ________________________________________________    City-State-Zip: _______________________________________________________________           

 

Phone: ______________________________________________________    Phone: ____________________________________________________________________

 

Email: ______________________________________________________     Email: _____________________________________________________________________

VISA  /  MasterCard#: ___________________________________________________ Expiration date: ______/_______   Code on back of card: _____________

Signature: ___________________________________________________________          # Check Enclosed: ______________    Amount: $ __________________

QUILT COLORS:   You have two options for the color (s) of your quilt.  The background color of the quilt will be WHITE.

Option1: You can select  just the Primary Color and no Secondary Colors. The Primary Color is the predominant  shade.     

Your quilt will have four to five shades of that color.

Option 2: Select the Primary Color and then list up to four Secondary Colors that complement your Primary Colors.                                    

Colors:  BLUE        GREEN        RED        PINK        BROWN        BEIGE        ORANGE       YELLOW        GOLD        ROSE        PURPLE        LAVENDER

TIP: Include with your order color chips from your paint store that closely match your desired colors

Specialty or Batik fabric, add 15%

Quantity Quilt Primary Color List up to 4 Secondary Colors Unit Price Total
  Baby   48" x 48"     $110 $
  Twin  64" x 88"     $275 $
  Full  84" x 90"     $325 $
  Queen  84" x 100"     $450 $
  King  100" x 100"     $575 $

To avoid confusion, please use a separate form if ordering more than one quilt of the same size. Sizes are approximate and vary somewhat quilter by quilter. Please be patient, a fabric store may be over 100 miles one-way from a woman's home. The tax directly benefits the people living on the Cheyenne Reservation, one of the poorest in the USA. Please allow 3 to 4 weeks for delivery. Add 8% for shipping costs. Contact the YMCA for shipping charges outside the United States. We usually ship by the U.S. Post Office.

 Sub total: $
5% Tax: $
7% Shipping: $
TOTAL: $

WOPILA!

Thank you for your order.

Mail Order Form with Payment Made to:

Sioux YMCA

Attn: Executive Director / Director of Entrepreneurship

P.O. Box 218      Dupree, SD     57623-0218

(605) 365-5232  (605) 365-5230 fax         Email: entrepdirector@siouxymca.org