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OREGON COASTAL QUILTERS GUILD

Boutique Consignment Inventory

Name:	Consignee Number

Address:	Phone:

City, State, Zip:	Clerk:

Check-In	Item #	Description	Total Price	Check-Out
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9
0
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9
0
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9
0

GRAND TOTAL SALES: $_____________

Less 13%: $ ____________

Amount due Member: $____________

Insurance Waiver and Assumption of Loss

Your entries may already be protected by your homeowner's policy. The insurance policy that covers Oregon Coastal Quilters Guild is a personal injury liability policy only. It does not provide any protection against property damage, loss or theft. We will handle the entries with great care. Therefore, we ask all entrants to sign the following statement to evidence their recognition and assumption of risk and return it with the Inventory Sheet for the Boutique.

By signing this statement, I expressly agree to release Oregon Coastal Quilters Guild of Lincoln County, Oregon and their respective agents, employees, and members from all liability for any loss, damage, theft, injury, or destruction to any article entered by me for sale in the Boutique at the Quilt Show at the Recreation Center, Newport, Oregon. I understand and assume that I bear the risk of all uninsured loss to my own property and this is up to me to properly insure against any and all risks if I so choose.

Signature	Date:

Revised May 2017

Oregon Coastal Quilters Guild

Nan Scott

2017-05-08

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