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The Fort Atkinson Piecemakers
Quilters Harvest
October 21, 2006   9am-5pm
October 22, 2006   10am-3pm
*** ENTRY FORM ***
Name:   Phone:  
Address:  
City & State:   Zip:  
I agree to the rules of the Piecemakers Quilt Show, as listed on page 2.
Signature:    
(Entries will not be accepted without signature.)
One item per line.  First item $3.00, additional items, $1.00 each. This form
may be reproduced if you need more copies.  Only one entry per number.
Division Number* Pattern and Title Dimensions Fee
        $3.00
        $1.00
        $1.00
        $1.00
        $1.00
        $1.00
        $1.00
        $1.00
        $1.00
        $1.00
        *Numbers 5,8,11,20 please name the quilter Total  
Checks payable to:…… Fort Atkinson Piecmakers            
Mail completed entry form to: ……….……………    Nancy Hoerter
(postmarked no later than October 9, 2006)    752 E. Church Rd.
     Date Received:    Cambridge, WI
    53523