Name
Address
Place	Town
County	Postcode
Country
Telephone number	Fax number
Email address

Description of the entry

Size of the design	cm x cm
Type and colour of material used

Use the VENUS collection (state the colour numbers and quantity) and any other materials if used.

Include a colour photograph of the design and state your name and address on the back.

With your signature you confirm that you designed and made the entry yourself and that you are over 18 years of age (if you are under 18, signature of parent/guardian.)

Date

Signature __________________________

Send this form together with the colour photograph and a stamped self-addressed envelope before the 15th of April 2003 to:

The Stitch Company Nieuwstraat 6 4264 RE Veen The Netherlands

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