The Quilters Hall of Fame 2007 Fund Raiser

$1.00 Each    ~or~    6 for $5.00

Whole Sheet $10.00

Please fill out and return each ticket purchased.

Mail to: The Quilters Hall of Fame, P.O. Box 681, Marion, IN 46952

Deadline for mail-in tickets is July 14, 2007. Drawing will be held July 22, 2007.

Need not be present to win.

Feel free to copy this form as needed.

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________

$1.00 Opportunity to win “Tennessee Waltz”

Name: ________________________________________

Address: ______________________________________

City: _____________________ State: _____Zip: ______

Phone: (______)_________________________________