Staple check here                                                                                                                                                      Quilt#_______

                                                                                                                                                                  Juried In___Out___

“ARTIFACT” Entry Form

Deadline:  August 22, 2009 – AQuA meeting

PACIFIC INTERNATIONAL QUILT FESTIVAL XVIII 2009

One Quilt per form – Fill in all Blanks

Artist name_________________________________________________________________________

Address____________________________________________________________________________

Phone #______________________E-mail address__________________________________________

Quilt name__________________________________________________________________________

Quilt size:  (height)___________(width)______________________

This is my ORIGINAL work: Yes____No____ My design was inspired by_______________________

____________________________________________________(photo, artist name, physical object).

My quilt uses techniques learned in a workshop: Yes____No____If yes, credit teacher’s name & technique

on back of quilt.

Is quilt for sale? Yes____No____If for sale, how much? $________.  Your estimated value for Mancuso insurance purposes $___________.  Quilts are insured by Mancuso Management while on site and during shipping process; however, $1,000 is the maximum insurance rider unless you supply an appraisal by a certified quilt appraiser.

PLACARD INFORMATION:  Please tell us about your quilt, how it came to be, and how it relates to the Artifact theme.  (75 word maximum – please write clearly and concisely)_________________________

___________________________________________________________________________________ ___________________________________________________________________________________

_______________________________________ (If extra space is needed, please use reverse side of form).

Please give a brief description of the various techniques and/or materials used…(i.e. hand painted, hand

dyed, silk and tyvek, etc.)_______________________________________________________________

FEES:

PHOTOGRAPHY:  $20 for each quilt.  If you are using a photographer other than Frank Nored, check here____. 

ENTRY FEE:  $15.00 for each entry.  Attach check for the entry fee and photography made payable to AQuA.  I have attached my check in the amount of $_____which is for photography and entry fee.  Or, I have attached my check in the amount of $_____as I am using a different photographer.  Note, only one check is required for multiple pieces.  If you are submitting multiple pieces, check here____.  If my work

is juried out I still want it photographed._____

CHECKLIST:

You must go to the website for information about the items below.  Initial here to indicate you have read and agreed to General Rules on the website._____________

(   ) Photography slat                                   (   ) Pet hair removed                                (   ) Check

(   ) Sleeve                                                    (    ) Label                                                   (   ) CD if using different

(   ) Non-standard pieces coordinated with Kathy Pfeufer                                          photographer

INSURANCE:  Entry of the above items means that I fully understand that AQuA members will take every precaution to protect my quilt in the gathering, shipping, and redistribution, but I understand that they cannot be responsible for acts of nature beyond their control.  As an entrant, my signature grants AQuA and the Pacific International Quilt Festival and its designated sponsors the right to photograph my quilt for publication, advertising or promotional use.  I give my permission for my quilt to travel to other venues should the occasion arise.  Yes____No____

Signature______________________________________________Date__________________________