RAFFLE QUILT REGISTRATION FORM

For NYQuilts! Use
Date Received: ________________  Space for:
Friday/Saturday
Sunday

 Please print legibly in black ink

Requesting Space for: Friday/Saturday _____________ Sunday ______________

NAME of GROUP __________________________________________________________

Name of Contact for Group __________________________________________________

Address: ___________________________________________________________________

___________________________________________________________________________

Phone ___________________________(day) _____________________________(work)

E-mail address _______________________________________________________

Name of entry: _____________________________________________________________

Year completed _____________ Size _______" wide X _________" long

Value, for insurance purposes __________________________

Describe your quilt: ________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Pattern Name & Source ____________________________________________________

Fiber content of fabrics_____________________________________________________

Type of Batting used: ______________________________________________________

Hand quilted_____ Machine quilted _____ Combination _____ Tied ______

Drawing Date: ________________________________

Quilt proceeds benefit: ______________________________________________________

By April 1st - send to: Betsy Bitner, 34 Deer Run Hollow, Clifton Park, NY 12065

email: betsybitner@mindspring.com

Please include a legal size, self-addressed stamped envelope and a photo of your quilt (does not have to be complete in photo).