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2018 2Q Mod Challenge Entry Form

Entry Form to be submitted by 10th March 2018

Quilts to be delivered by 14th April 2018

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2018 2QMod Challenge Entry Form

2018 2QMod Challenge Entry Form

Please read carefully and complete all sections

First Name
Last name
Address
City
State/Province
Zip/Postal
Country
Type Number including area code, without any spaces: 0712345678
Type all numbers without spaces: 0421345678

Quilt Details

This information will be displayed on the quilt.

QUILT DELIVERY

Please Indicate how your quilts will be delivered

COPYRIGHT COMPLIANCE

Payment

$
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