Donate

Quilt Contest Entry
For questions regarding your online purchase, please contact quiltcontest@hlsr.com.

PURCHASE

Item Description	Quantity	Amount	Total Amount
Quilt Contest Entry		$30.00	$0.00

Total Purchase Amount:

$0.00

CUSTOMER

Are you a previous customer or member of the Show?

NO YES

HLSR Customer or Member # unknown:

HLSR Customer or Member #:

Is the purchase being made by a company?

NO YES

Company Name:

First Name:

Last Name:

Email:

Phone:

Contact First Name:

Contact Last Name:

Mailing Address:

City:

State:

ZIP:

Phone:

ADDITIONAL INFORMATION

Email Address:

Entry Title:

First Name:

Last Name:

Phone Number:

EMAIL CONFIRMATION

A confirmation of this transaction will be emailed to the email address entered below.

Email Address: