|
| Name of Quiltmaker | __________________________________________________ |
| Address | __________________________________________________ |
| City, State, Zip | __________________________________________________ |
| Day Phone | __________________________________________________ |
| Evening Phone | __________________________________________________ |
| __________________________________________________ | |
| Name of Quilt | __________________________________________________ |
| Size | (W) __________ (L) __________ |
| Short Description of Item | __________________________________________________ |
| __________________________________________________ | |
| __________________________________________________ |
Mail completed form with your quilt to:
NQA - LQA
1901 Ramblewood
Columbus, OH 43235