WORLD QUILT COMPETITION

Fully maximize this window and print out and use this form for New Zealand quilts only.

Entry Form

Personal Information

Name	________________________________________
Address	________________________________________
City	________________________________________
Province	________________________________________
Postal Code	________________________________________
Telephone	________________________________________
Email	________________________________________

Quilt Information

Size

______cm X ______cm

Important: See Rule 2

Construction Technique
(circle)

Pieced:	Hand	Machine
Appliquéd:	Hand	Machine
Quilting:	Hand	Machine

Title of Entry________________________________________

Year Completed_____________________________________

Entry Category (See note at bottom of Contest Rules)
(circle one)

Traditional Innovative

Payment Information

Enclose cheque or money order for $30 New Zealand.
$20 New Zealand additional for accepted quilts for shipping.

Artist Statement

__________________________________________________

Release Signature Required

Entry of the above item means that I will abide by the rules and decisions of the judges. I acknowledge that World Quilt & Textile and its sponsors will take every precaution to protect my quilt, but understand that they cannot be responsible for acts of nature beyond their control. As an entrant my signature grants World Quilt & Textile/Mancuso Show Management the right to reproduce the image of my quilt for publication, advertising or promotional use. Slides of accepted quilts become the property of World Quilt & Textile and Mancuso Show Management.

Signature___________________________________________

Date______________________________________________

Insurance Value

Any entry valued at more than $1,000 US must be accompanied by an acceptable insurance appraisal with the entry form.

Approximate Insurance Value (US Dollars)_________________
($3,000 US Maximum)