Quilt Entry Registration

I hereby agree to hold harmless the Coburg Quilt Show, Coburg Community Grange, and the City of Coburg, the drop off/pick up sites as well as any commercial enterprise taking part in the 2010 Coburg Quilt Show for any damages, loss or theft occurring to any quilt(s) entered in the show. I understand the show is outdoors and that the quilt committee will take all reasonable precautions to care for my quilt(s). The commiittee also has the right to show the quilts in the area they deem best and reserve the right to refuse any quilt that is not suitable to the event. I hereby give permission to Coburg Quilt Committee to photograph my quilt(s) for use in promotional and fundraising events at the discretion of the committee.

 Thank you for your submission(s).  You will be receiving a confirmation from Bonnie at bonsterboo@hotmail.com. If you do not receive confirmation within 48 hours, please contact Bonnie.For questions on quilt entries or the entry form, contact Bonnie at bonsterboo@hotmail.com or 541-343-4776 after 11am.

The fields marked with (*) are required fields.

*	Full Name	* required
*	Mailing Address	* required
*	City	* required
*	State	* required
*	Zip Postal Code	* required
*	Telephone Number	* required
*	Email Address	* required
	# of Quilts to be entered:
*	Quilt #: (Use a separate Quilt Entry Registration form for each quilt entered. Use this field to number them.)	* required
*	Quilt Title	* required
*	Quilt Maker Name	* required
*	Quilt Owned By	* required
*	Quilted By	* required
*	Quilt Size (measure in inches width by length)	* required
	The year the quilt was completed:
*	Tell us your quilt's history for our program. What's the inspiration for, patterns used, fabrics...100 words or less.
*	Quilt Details	Traditional/Contemporary Fiber Art Quilt Antique/Heirloom
*	Is this quilt for sale?	Yes (A 25% consignment fee if quilt is sold will be applied to Coburg Quilt Show) No
	The list price for this quilt will be
*	My quilt has a four inch (4") sleeve.	Yes No
	Please describe in 10 words or less the quilting method(s)used: (example: embroidery/top stitch/hand stitched/machine quilted)
	Is quilt made by youth (16 and under)?	Yes No

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