APPALACHIAN QUILT TRAIL
AQT Site Registration Form
Name of business, barn, or farm
*
Street Address (physical location) of business, barn, or farm
*
City
*
State
*
Zip
*
County
*
Is the location a business?
*
Yes
No
Business phone
Format: (000) 000-0000.
Website
Hours of operation
Seasonal/Dates Closed
Is the quilt square visible from the road?
*
Yes
No
Is there safe, accessible parking nearby in case people stop for a picture?
*
Yes
No
GPS Coordinates: Latitude
*
GPS Coordinates: Longitude
*
Please upload images of the Quilt Square, Building, and the view from the road or likely viewing location
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Size
2'x2', 4'x4', 8'x8', etc
Name of quilt pattern
*
Name of quilt square painter
Brief history of quilt pattern and/or why it was chosen
Information about business, barn, or farm for website—What tourists can see, do, purchase, experience at your location and other attractions/ activities in your surrounding area.
Contact Information
Will not be displayed on website-for AQT use and records only (Optional)
Contact Name
*
Email address
*
example@example.com
Phone
Format: (000) 000-0000.
PO Box / Street Address
City
State
Zip
Preview PDF
Submit
Should be Empty: