Quilt Appraisal Application Step 1 of 4 25% FacebookThis field is for validation purposes and should be left unchanged.Fee Notice Appraisal Fee: $10.00 (Members) Appraisal Fee: $15.00 (Non-Members)Membership StatusAre you a current Alice Springs Quilting Club member? Yes No Membership numberThe appraisal will provide a reproduction cost for replacement value.Quilt Owner(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email(Required) Enter Email Confirm Email PhoneQuilt Maker Name(Required) First Last Quilted By(Required) First Last Quilted Name(Required) Name Quilt DetailsQuilted Details(Required) Length (cm) Width (cm) Year Made Intended Use Bed Wall Hanging Art Quilt Description of Quilt and Predominant Colours(Required)Please describe your quilt, including style, pattern, theme, features, and the main colours used. Construction Techniques Used Hand Pieced Machine Pieced Hand Applique Machine Applique Hand Embroidery Machine Embroidery Beading / Painting Other Select AllOther TechniquesHas this quilt won any awards? Yes No Award DetailsMaterials Used(Required)Please provide as much detail as possible (e.g. cotton, silk, antique fabric, hand-dyed fabric, wool batting, speciality threads etc.) Cost to Construct the QuiltPlease input a monetary value in the boxes belowCost of Kit / Block of the MonthFabric (top and backing)BattingQuiltingBindingThreads / EmbellishmentCostPlease provide estimated costs where knownDesign Source Original Design Traditional Design Kit Block of the Month Book / Magazine / Pattern Other Other design source(s)Design Source DetailsPlease provide any additional details.Quilting Method Hand Quilted Machine Quilted by Quilt Maker Commercial Machine Quilting Quilting DetailsPlease provide quilting details such as who completed the quilting, machine type, business name, or any relevant costs.Batting DetailsPlease include batting type used (e.g. wool, cotton, bamboo, polyester) and whether included in quilting cost.Did the quilt maker apply the binding? Yes No Binding DetailsPlease provide details and cost.Other Important InformationPlease include anything important for valuation (e.g. group quilt, historical significance, custom materials, special story).Is copyright potentially an issue with this design or image? Yes No Has permission been obtained? Yes No Please provide 5 photographs of the front of your quilt and 1 photograph of the back of your quilt on delivery day. Drop files here or Select files Max. file size: 1 GB, Max. files: 5. Declaration(Required) I understand that while every care will be taken, Alice Springs Quilting Club Inc., the coordinator and appraisers cannot be held liable for loss or damage. I understand that I am responsible for insurance, delivery, and collection costs.
