CWA Exeter Crazy Cozies Competition

Entry Form
Thanks for entering the Crazy Cozies Competition and supporting breast cancer care for women suffering from
breast cancer in rural and regional areas of Australia. Entries must be received by the last post on 30th
September, 2009 and the winner will be announced Saturday 10th October, 2009. The winner of each of the
three categories will receive AUS$250 and the runner up in each category will receive AUS$50 plus a copy of
Loani Prior's book Wild Tea Cosies.

Name: _________________________________________________________________________________

Address: _________________________________________________________________________________

_________________________________________________________________________________

State: ________________________ Country: ______________________Postcode: _________________

Home Telephone Number: __________________________ Mobile Number: ________________________

Email Address: ___________________________________________________________________________

Title of your Tea Cozy: ____________________________________________________________________

Please Circle Category:

A: Australiana B: Novelty/Fantasy C: Traditional
Cozies can be created in any medium: Knitted, crocheted, sewn, embroidered or any mixed or other medium

Tell us about yourself:

_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

Signed: _______________________________ Date: ________________

By signing this entry form you agree to pay a $5 entry fee which must be included with your entry form and
understand that the Tea Cozy will not be returned to you. Your cozy may appear on the Crazy Cozy Blog
http://crazycozies.blogspot.com/
The $5 entry fee and any monies raised from the sale of cozies submitted will become part of the funds raised towards breast cancer care.

Please make your $5 entry fee cheque/money order payable to

CWA Exeter Branch and post it and your cozy to: Office Use Only

Crazy Cozies Competition Date Received: ___________

CWA Exeter
C/- Post Office Entry Fee Received: Y/N
Exeter NSW 2579
Entry Number: ___________
For more information contact us at: cwaexetercrazycozies@gmail.com