To make a donation to the Heart of America Quilt please
print and cut along the dotted line and mail your check
or money order to:

Heart of America Quilt
7 First Street
Winslow, Maine 04901

Thank you for your donation of $___________on___________
      (Please keep this portion for your records)

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Please accept my donation to the Heart of America Quilt of

            $______________

Name:        ______________________________________________

Address:     ______________________________________________
 
             ______________________________________________

Phone:       ______________________________________________

Email:       ______________________________________________

Business or 
Association:  _____________________________________________


Make checks payable to Heart of America Quilt and mail to:

              Heart of America Quilt
              7 First Street
              Winslow Maine 04901
              207-873-3573

Thank You