QLV 2018 Summary/Payment Form
Please fill out just one copy of this form to cover all your entries, and list the names of all your entries on this form.
First Name *
and Middle Name(s), if you wish
Your answer
Last Name *
This is the name that will be used for sorting the list of entrants. Please choose the "Last Name" that we know you by.
Your answer
Total Number of Entries, and entry fee totals *
$7.00 per entry for your third and fourth entries only
Pre-order Show DVD
The Show Photographs are available for Pre-order. You will receive them AFTER the show.
Total Amount Due *
Please indicate the total amount for all your entries, plus any CD(s) you pre-order. Please go to the DQN Store to pay the amount due.
First Entry Name *
Free membership benefit
Your answer
Second Entry Name
Free membership benefit
Your answer
Third Entry Name
$7.00 entry fee
Your answer
Fourth Entry Name
$7.00 entry fee
Your answer
Fifth Entry Name
This entry will be on a waiting list, at no charge. You still must submit a separate Registration Form and photograph.
Your answer
Sixth Entry Name
This entry will be on a waiting list, at no charge. You still must submit a separate Registration Form and photograph.
Your answer
Seventh Entry Name
This entry will be on a waiting list, at no charge. You still must submit a separate Registration Form and photograph.
Your answer
Eighth Entry Name
This entry will be on a waiting list, at no charge. You still must submit a separate Registration Form and photograph.
Your answer
Please go to the DQN Store to pay if you have an amount due. *
Required
Waiver *
I have read all the guidelines and rules pertaining to show entries. I understand that the Quilt Show Committee will take every precaution to protect my entry(s). I agree to release the DQN guild and the City of Henderson from all liability of any loss or damage that might occur. I give my consent to have my entry(s) photographed. (Only one waiver and Summary Page for is needed for all of your entries).
Required
Please print a copy of this information now for your records. *
Required
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