Please e-mail the information below to Linda at colesquilts@hotmail.com
You will be e-mailed back as soon as possible.
If you do not receive a response within
14 business days, please resend the information.

Your Name: 
Name of the person receiving the quilt: 
Age of the person receiving the quilt: 
Diagnosis/Type of SMA:
Your E-Mail:
Your Home Address (where to mail the quilt):
Telephone Number:
Interests and likes of person receiving the quilt, or theme they'd prefer: