Name *

First Name

Last Name

Event Date (if applicable)

MM

DD

YYYY

Fabric Preference *

If we are including fabric, what is your preferred application technique?

zig zag edge

clean edge

Embroidered Plants Preference *

Please reference the above images to let me know what type of embroidered plants you prefer

Rounded leaves (single)

Rounded leaves (branching)

Pointed leaves

any of the above would be fine!

Additional Embroidered Elements *

The couching stitch is a fun way to create movement and add texture. If you like this stitch I can make sure we include it

Filled spaces only

Filled spaces & couching stitch

Digital Composition Opt Out *

Using your responses I will make a digital composition to give you an idea of what your piece will look like. I will require your feedback within 48 hours of the digital composition being sent. If you trust my judgment and want to opt out of that extra layer of communication and approval that is an option. Would you like to opt out of receiving a digital composition and providing feedback?

No, I would like to receive the digital composition and give feedback. I agree to do this within 48 hours

Yes, I am opting out of the digital composition and trust you to use the form responses to make the embroidery

Personal Use Conditions *

1. Client (name listed above) shall not use any of the Kelcie Mack final deliverables or project elements for the purposes of profit and/or under the name of a commercial business or entity, including but not limited to prohibiting use as a logo design, sellable artwork, or marketing element. 2. Client, upon making full payment, is granted personal use of the final deliverable, including both rights to publish online and print without attribution. 3. Kelcie Mack retains partial reproduction rights to use any of the final deliverable or project elements in the purpose of marketing one’s business, portfolio, and future publications on design. 4. Rejection of the completed project or cancellation during its execution will result in the forfeiture of deposit and the billing for all design labor and expenses to date. Given the rejection or cancellation of a project, all elements of the project must then be returned to the designer. Any usage by the client of those design elements is prohibited and will result in appropriate legal action. 5. Client shall bear all costs, expenses, and reasonable attorney’s fees in any action brought to recover payment under this agreement or in which Kelcie Mack may become a party by reason of this agreement

I, the client, agree to the above conditions