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| Name: | asdasdsa asdad |
| Address: | asdd |
| City: | asdasda |
| Province: | Manitoba |
| Postal Code: | r4r-5y5 |
| Phone: | (999) 999-9999 |
| Email: | dcrowe@shaw.ca |
| How many Quilts do you want to register?: | One |
| Total: | $ 5.00 CAD |
| Entry Type: | This Entry is for Youth Exhibit Only |
| Title of Entry: | wer |
| Quilt Length: | wer |
| Quilt Width: | wer |