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)
___________________________________________

__________________________________________

 QUESTIONS OR PROBLEMS:

 Mary Beth Goodman 518-766-6279 (H)
email: mgoodman@albany.net/ marybg@tripod.com

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