Application for Quilt Appraisal Note: This Appraisal is for personal use only and gives a replacement value only. If you wish to insure your quilt, you must contact your insurer to discuss the matter with them. Queensland Quilters Inc gives no assurance that your insurance provider will use this appraisal when determining an insurance value. Quilt Owner Membership Number Did you make the quilt? YesNo Quilt Maker Membership Number Quilt Owner Contact Details Address City State QLDNSWACTVICWANTSATAS Post Code Email Phone Quilt Details Quilt Title Year Made Width (to nearest cm) Length (to nearest cm) Intended Use Bed Wall Hanging Art Quilt Other Predominant Colours Has this quilt won any Awards? YesNo Please give details of any Awards won Design Source Original Traditional Kit Block of the Month Other – Book, magazine, pattern Please give as much detail as possible Design Source Details Construction Details Materials Used Please give as much detail as possible e.g. cotton, silk, antique fabric, hand dyed fabric by the quiltmaker, use of Vliesofix, foundation papers or stablisers, type of beads, type of embroidery threads, etc Techniques Used Please tick all that are appropriate Hand pieced Hand applique Hand embroidered Beaded Machine pieced Machine applique Machine embroidered Surface and other techniques Quilting Details Quilted Details Hand Quilted Machine Quilted Commercial Quilter Handquilting Hand quilted by Tied by Machine Quilted by Quilt Maker Type of Machine used Domestic Mid Arm (sit down) Long Arm Computerised Quilting Stitch Regulated Quilting Non Stitch Regulated Quilting Machine Quilting by Commercial Quilter Business Name of Commercial Quilter Name of Commercial Quilter Cost charged $ Type of Machine used Domestic Mid Arm (sit down) Long Arm Computerised Quilting Stitch Regulated Quilting Non Stitch Regulated Quilting Was the batting included in the machine quilting fee YesNo Batting Type of batting used e.g. wool, poly, cotton, silk, bamboo, pelon etc. Binding Did the Quilt Maker apply the binding? YesNo If binding was not done by the Quilt Maker please give details Cost to construct the Quilt Please supply as much information as possible Cost of Kit/block of the month $ Fabric Top $ Quilting $ Binding $ Backing Fabric $ Other Information Please supply information that is important for this valuation e.g. Group Quilt, Raffle Quilt Copyright Is your quilt taken from a design or image where copyright could be an issue? YesNo Has permission been sought to use the design or image? YesNo Photograph of your Quilt Please upload 1 photograph of your complete quilt. 3 mb Maximum file size. The photo should be labeled surname_quiltname, e.g. Jones_My Fairy Garden Disclaimer While every care will be taken, neither Qld Quilters Inc., nor the co-ordinator/Appraisers can be held responsible for loss or damage to the quilt in the process of being appraised. The owner is responsible for insurance of the quilt. The quilt must be delivered and collected by the owner or representative – the quilt owner will bear all cost associated with delivery and return of the quilt. If you wish to have your quilt posted back to you, please include the cost of registered return post at delivery of your quilt. Payment of Appraisal Fees $20.00 members, $30.00 non-members. You can make payment by Direct Deposit to Queensland Quilters OR by Credit Card Direct Deposit Name of Account: Queensland Quilters Inc BSB: 034-002 Account Number: 768617 Please include your last name and Appraisals as the payment reference. Credit Card Please contact Ian Hutton 0428106512 with your credit card details.