Agreement Between
___________________________________________
and the participants of the Child Abuse Quilts Project.
Borrower has read the provided guidelines and instructions and agrees
to:
- provide insurance coverage for the value of the quilts
borrowed while in possession of them,
- provide a secure storage and display space,
- and to ship the quilts as indicated below within 48 hours
of close of event, with appropriate insurance for shipping.
___________________________________________
signature of borrower
___________________________________________
signature on behalf of Child Abuse Quilts
PLEASE PRINT CLEARLY!
Dates of display ____________ to ____________
Event Name________________________________
Place of Event______________________________
Contact Name: _____________________________
Address: __________________________________
___________________________________________
Phone: Home (_____) _____________
Work (_____) _____________
email address:_____________________________
Insurance provider (Organization or individual)
___________________________________________
Expected Return Date _______________________
NOTES: _________________________________
___________________________________________ |
No. of Quilts requested |
_____________ |
Total Value for insurance |
$____________ |
QUILTS BEING SENT TO YOU |
ALL QUILTS (28) |
Value $ ______ |
|
Bellah |
|
Norris |
|
Colsh |
|
Pflanz |
|
Copeland |
|
Pugh |
|
Craft |
|
Robinson |
|
Goldshlag |
|
Ruspi |
|
Goodman |
|
Ruzycki |
|
Greenwold |
|
Salume |
|
Hobbs |
|
Sarabasha |
|
Ison-Worbs |
|
Schrock |
|
Leutenegger |
|
Stern |
|
Lumsden |
|
Stulberger |
|
Martens |
|
Wambaugh |
|
Mason |
|
Wood |
|
Morgan |
|
Zielski |
Date To Be Sent/Delivered _________________
If picked up, by _______________________
Upon receipt of quilts, please
be sure that you have received all the quilts indicated above and that you
have:
- An artist statement card for each quilt
- "Do Not Touch" signs
- A copy of the list of quiltmakers
- Information for you to use in publicity etc.
PLEASE return the artist statements and Do Not Touch
signs with the quilts!
Thanks for showing the Child Abuse Quilts and doing
your part to fight child abuse!
SHIP or RETURN TO: (label enclosed)
___________________________________________
__________________________________________ |