2010 International Quilt Week Miniature Quilt Contest

   Entry Blank to Accompany Slides (Please print in block letters)


name(s) _________________________________________________________________________

address ___________________________________________________________________________________________

country ________________________________________  phone _________________________________________ 

fax ______________________________________________  e-mail _________________________________________

Circle One Category
:(A series of works is classified as one entry)
1. Traditional quilts2. Contemporary quilts
3. Pictorial quilts4. Japanese quilts: quilts with Japanese theme

Original Design              □ Yes     □No
*If there is any picture/item from which you got the inspiration, please write the title of the work and the name of the original maker.


Title of the quilt _________________________________________________________________________

Brief description of the entry _____________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

●entry fee will be paid by
        □ Visa     □Mastercard

credit card No. ___________________________________________________ expiration date ______________________ 

cardholder's name ______________________________________________ signature ___________________________________

I wish to enter the above item and agree to abide by the contest rules & divisions of the jury and judges. I send my quilt at my expense and pay \4,000, per entry, for the contest fee, return shipping & insurance. I understand that I need to value my work for customs declaration purposes only at no more than $50.00 (US) in order to avoid an expensive bond. Any additional duties and taxes are my responsibility to pay and I agree the Quilt Week Committee to charge my credit card if that happens. I understand that the Quilt Week Committee will take every precaution to protect my work exhibited in this show. I realize they cannot be responsible for the acts of nature beyond their control. You may have my permission to photograph this work. I understand that my signature gives the Quilt Week Committee the right to use a photo of my work in any publications, advertisements, or promotional materials.

*We encourage you to insure your work for its full value for insurance purposes, however, we must ask you to value it for customs declaration purposes only at no more than $50.00 (US). A higher custom value may require an expensive bond. If it happens, we must ask you to reimburse these expenses to us by your credit card or international money order issued by post office.


Signature ___________________________________________________  Date ______________________