Pincushion Challenge!
(Print this form and send in with your entry)

Name:…………………………………………….

Address:……………………………………………………………………………………

Ph. No:…………………………………………….

Section:

Adult………………………………………….

Child…………………………………………….

One entry form per Pin Cushion

This form may be photocopied. Please sign below verifying your entry is your own work and that you are  willing  to relinquish ownership of your entry to enable it to be used for fundraising purposes for ‘Fresh Hope’ Assn.

Signature:……………………………………….

Date: ……/……/ 2008