Date Released for Publication - 10/22/2001
Tribute to the American Spirit
ORIGINAL DESIGN PROJECT - TRAVELING EXHIBIT
Entry Form
NAME:________________________________________________
STREET:_______________________________________________
CITY:__________________STATE______ZIPCODE____________
PHONE:_______________________________________________
EMAIL:________________________________________________
ENTRY INFORMATION
TITLE OF ENTRY:_______________________________________________
SIZE:______HIGH x_______WIDE or______SQ. IN.
DATE COMPLETED:_______________________________________________
THEME INTERPRETATION / A BRIEF STATEMENT
Tribute to The American Spirit
(75 words or less, printed or typed in space below)
For the purposes of informing the viewing public, please indicate the following:
_______hand pieced or _________machine pieced
_______hand applique or _________machine applique
_______hand quilted or _________machine quilted
IMPORTANT
Any entry valued at more than $1000 must be accompanied by an acceptable insurance appraisal with the entry form.
Approximate Insurance Value _______________
Entry of the above item means that I will abide by the rules and decisions of the judges. I acknowledge that The Quilt Heritage Foundation will take every precaution to protect my quilt, but understand that they cannot be responsible for acts of nature beyond their control. As an entrant my signature grants The Quilt Heritage Foundation the right to photograph my quilt for publication, advertisements or printed or electronic promotional materials. Slides of accepted quilts become the property of The Quilt Heritage Foundation. I will be informed where my quilt will be exhibited or published and be given a complimentary copy of the official touring catalog in which my quilt is featured.
Signature ___________________________________________________________
Social Security # ______-______-_______
Check One:
__Visa __Mastercard __Amex __Discover __M.O. __Check
Card No ____/____/____/____ Expiration Date ___/___
This form must be returned with each entry. Make copies for your records.
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