Request to Host one of the CHD Awareness Quilts

If you are interested in hosting a CHD Awareness Quilt, we ask that you read the Hosting,Shipping, and Handling Policies for more information on hosting a quilt and requirements and submit the following form.  By filling out this form, you are showing interest in hosting one or more the CHD Awareness Quilts. The information from the form will be shared only with the CHD Quilt Council. The CHD Quilt Council will review all forms. Hosting is determined on a first request basis, type of function quilt will be displayed, and the dates available. If chosen to host a quilt, you will be contacted with further information. 
Note:
Filling out this form does not guarantee that you will host a quilt.
If chosen to host a quilt, we cannot guarantee that the quilt you receive will have yours/your child's name on the quilt. We will do our best to try to make this possible.
We ask that hosts pay a $ 50.00 Hosting Fee for each quilt requested and pay for shipping of the quilt back to the CHD Awarness Quilt Project, Inc. We ask that the Hosting Fee  be paid 30 days in advance of your event. A Hosting Fee form will be sent to you upon approval of your request. A quilt will not be shipped until we receive the payment. 

First Name:
Last Name:
Phone Number:
Address Line 1:
Address LIne 2:
City:
State/Province:
Country:
Zip/Postal Code:
Date of Your Event:
Which quilt would you like to host:
Please share information about your event, comments and affiliations (ie., indoor/outdoor event, hospital, Pediatric Heart Center, Organization.)
email address 
for contacting
Shipping address for quilt      if different than above

Passionately Promoting CHD Awareness 
            ...One stitch at a time
The Congenital Heart Defect Awareness Quilt Project, Inc.