RETURN WHITE COPY WITH PHOTO OF QUILT TO: 
JEFFERSON REGIONAL QUILT ALLIANCE
P.O. BOX 316 JEFFERSON, TEXAS 75657 ATTACH YELLOW COPY TO ITEM BEING ENTERED
KEEP PINK COPY AS A CLAIM RECEIPT

Quilt Entry
Jefferson Quilt Show 
"Quilts on the Bayou"
120 East Austin Street
Jefferson, Texas 75657
January 25 - 27, 2008

SHOW USE ONLY:
             
               
ENTRY NO._____________________________
                    
USE A SEPARATE FORM FOR EACH ITEM, WITH ATTACHED PHOTO

Sponsored by the Jefferson Regional Quilt Alliance and the Jeffersonian Institute

Please print:
Exhibitor's
Name__________________________________________________________________ Phone_______________
Address __________________________________________ City__________________ State_____ Zip_______
Title of Entry_________________________________________________________________________________
Top Made By_____________________________________ Quilted By__________________________________
Professional Long Arm Quilting Service_________________________________________________________
Size in Inches:  W_____________ L_____________ Year Made ___________ First Quilt?  Yes ____ No ____
Brief History of Item___________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
                                                                                                                                                                             
_____   50 Wall Hanging
                         
_____ 100 Small Quilt (Crib, Lap & Throw)
                        

_____ 200 Bed Quilt (Hand Pieced/Hand Quilted)
                         
_____ 300 Bed Quilt (Hand Pieced/Machine Quilted)
                        
IF ENTRY IS PICKED UP, PINK COPY OF THIS FORM MUST BE PRESENTED.  PICK UP ENTRIES AT CYPRESS VALLEY EDUCATION CENTER, 120 E. AUSTIN, SUNDAY, JAN. 27, 2008, BETWEEN 4:30 PM AND 5:30 PM

                                                                                  
                  

_____ 400 Bed Quilt (Machine Pieced/Hand Quilted)  _____ 500 Bed Quilt (Machine Pieced/Machine Quilted)
                  
_____ 600 Mixed Media (Quilt Contains Applique or Embroidery/Hand Quilted)
                    
_____ 700 Mixed Media (Quilt Contains Applique or Embroidery/Machine Quilted)
                 
_____ 800 Group Quilt  _____ 900 First Quilt   _____ 1000 Quilted Projects (Table runner, wearable, etc.)
                 
_____ 1100 Antique or Exhibit Only (no entry fee, not eligible for prize or ribbon)

RIBBONS AWARDED IN EACH CATEGORY

METHOD OF DELIVERY:
                   
_____ In person or by agent
_____ UPS
_____ U.S. Postal Service
                     
                                               
                               METHOD OF PICKUP:
                                                                                
_____ In person or by agent
_____ UPS
_____ COD to above address

_____ U.S. Postal Service (include sufficient
          funds for postage and additional insurance

I, __________________________________________for myself and all those claiming through me, hereby release  The Jefferson Regional Quilt Alliance, The Jeffersonian Institute, Inc., Cypress Valley Education Center and The Jefferson Quilt Show for any and all liability of any and every nature in connection with the use of the above described item.  Representatives of the show will be on duty during all show hours.  Every effort will be made to insure the safety of the work while in our care.
                                                                                                                                                                                 

Signature of Entrant___________________________________________________ Date_____________

Received by __________________________________________________________Date_____________