2017 Quilt Show Entry Online Form

2017 Quilt Show Entry Form

Type of Entry *

Is this an Individual Entry?

Is this a Joint Entry ie made by two people, but not commercially quilted?

Is this a Group Entry, ie three or more people?

Individual Entry

Name

First Name

Name

Last Name

Membership Number

Address

City

State/Province

Zip/Postal

Country

Phone Number

Type Number including area code, without any spaces: 0712345678

Mobile

Type all numbers without spaces: 0421345678

Email Address

Joint Entry -First Entrant

Name

First Name

Name

Last name

Membership Number

Address

City

State/Province

Zip/Postal

Country

Phone Number

Type Number including area code, without any spaces: 0712345678

Mobile

Type all numbers without spaces: 0421345678

Email Address

Joint Entry - Second Entrant

Name

First Name

Name

Last name

Membership Number

Address

City

State/Province

Zip/Postal

Country

Phone Number

Type Number including area code, without any spaces: 0712345678

Mobile

Type all numbers without spaces: 0421345678

Email Address

Group Entry

Name

Group Name

Membership Number

Address

City

State/Province

Zip/Postal

Country

Phone Number

Type Number including area code, without any spaces: 0712345678

Mobile

Type all numbers without spaces: 0421345678

Email Address

QUILT DELIVERY

Please Indicate how your quilts will be delivered

Dropdown *

COPYRIGHT COMPLIANCE

Please tick all boxes below and sign *

I certify that this entry is my own original design or is a traditional design that no other person has any copyright claim to, unless stated in the description above

I have read, understood and accepted the Conditions of Entry specified in the Queensland Quilt 2017 Show Handbook

I confirm that this quilt is all my own/our work and that all persons working on this quilt have been acknowledged in the Quilt Maker's Details section or as the Commercial Quilter listed under the Quilt Details section in this entry form.

Signature: Entrant *

Draw It
Type It
Clear

Signature: Second Entrant

Draw It
Type It
Clear

For joint entries or parent/guardian where Entrant is under 18 years

Payment

Number of Quilts Entered *

1 Quilt - $15

2 Quilts - $30

3 Quilts - $45

4 QUILTS - $60

5 Quilts - $75

Payment Amount $

Payment Method *

Date *

ReCaptcha *

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2017 Quilt Show Entry Form

Individual Entry

Joint Entry -First Entrant

Joint Entry - Second Entrant

Group Entry

Quilt Details

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QUILT DELIVERY

COPYRIGHT COMPLIANCE

Payment