Quilt Registration Form

A Galaxy of Stars, Show Sponsored by Chattahoochee Evening Stars Quilt Guild

Show Dates: June 10 and 11, 2006


Please complete this registration form for EACH quilt you wish to enter in our Show.  When you click on "Submit Quilt Registration Form", a form will appear on the next screen that you need to print, complete, and submit to complete your entry process.

Category: (Note: Large is more than 240 inches perimeter in size.)


Entrant First Name:


Entrant Last Name:


Entrant Street Address:


Entrant City:


Entrant State:


Entrant Zip Code:


Daytime Phone (678-222-1234 format):


Evening Phone (678-222-1234 format):


Entrant Email Address:


Are you a member of Chattahoochee Evening Stars?

Yes No

Title of Entry:


Date Quilt Completed (MM/DD/YY):

(Remember, it must be completed between dates of 6/12/04 and 6/10/06.)


Quilt Width in Inches:


Quilt Length in Inches:


Piecing Technique:


Pieced by whom (e.g., Entrant, Sue Jones, N/A):


Appliqué Technique:


Appliquéd by whom (e.g., Entrant, Sue Jones, N/A):


Quilting Technique:


Quilted by whom (e.g., Entrant, Sue Jones):


If Other Technique was used, describe in the paragraph below. Otherwise, leave this paragraph blank:


Choose the correct Design Type/Pattern Source for this quilt:


If this quilt was an Adaptation of a Pattern, identify the designer or source. Otherwise leave blank:


If this quilt was from a Workshop, identify the instructor. Otherwise leave blank:


If this quilt pattern source was from a book, provide the title, author/publisher information. Otherwise, leave blank:


If you selected Other Artwork, provide the details below. Otherwise, leave blank:


Choose your Quilt Delivery Method:


CES requests the right to use a photo of your quilt in any publication, advertisements, and any printed/electronic materials. Please indicate your response to this request below:


Quilt Insurance is available for the CES Show through NQA. Do you wish to purchase Quilt Insurance for the Show?

Yes No

Please indicate the approximate dollar value of your quilt (regardless of if you are insuring it or not):

$

Quilt Insurance is priced at $4.20 per $1000 of coverage. Minimum coverage rate if $4.20. If you indicated you will insure your quilt, indicate the amount you will be purchasing.


Please use this space to write a description of your item (up to 75 words). Include anything you want the viewers to know. For example, who the quilt was made for, inspired by, how long it took to make, etc. Please include any special techniques used in its making:



Webmistress.
Copyright © 2006 Chattahoochee Evening Stars. All rights reserved.
Revised: 02/25/08