Minda Benefit Quilt Challenge Application

Please send me a fabric challenge kit to participate in the Minda Benefit Quilt Challenge at AMQF 2016
Name(*)
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Mailing Address(*)
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Email(*)
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Phone #
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How many fabric kits would you like @ $10 each(*)
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Would you also like to make a donation to Minda Inc?(*)
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Donate here
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How would you like to pay?(*)
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If you would like to transfer funds by EFT please deposit to BSB 085656 Account 169068588
When paying by EFT please use your surname in the reference field so we can easily find your payment thank you!
Please provide your EFT receipt #
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If you would prefer to send a cheque then download & print the application form from the previous page to send with your cheque and Post to: AMQF Quilt Challenge C/- Lisa Barclay PO Box 171 Tanunda, SA, 5352
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