Quilt Show Entry Form

Quilt Show Entry Form
Personal Information
Name
First NameLast Name
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Quilt Information
Quilt Title
Quilt Size (in inches)
Width Length
Quilt Category
Other
Please provide a brief description of your quilt, including any special techniques or materials used.

Entry Fee Payment

Entry Fee

Enter description

$10.00

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Preferred Pickup Date
MonthDayYear
Date
Additional Notes or Special Instructions
Terms and Conditions:
I hereby declare that I am the creator and owner of the submitted quilt, and I grant permission for it to be displayed at the Quilt Show. I understand that the organizers are not responsible for any loss or damage that may occur during the event.
Date
MonthDayYear
Date
Signature
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