Charity Quilt Application

If your organization is interested in receiving a charity quilt, please apply using the form below.  You can submit the form by sending the information below via an email to, or send your application via USPS to:

CRQC c/o Lois Routh, 34 Bristol St., Castle Rock, CO. 80104.

Name of the Organization: 

Name of the Point of Contact: 

Street Address: 

City:    State:    Zip Code: 

Phone Number:   Email Address: 

Charity benefiting from the quilt (If different than above):

Mission of the Organization:

How do you plan to use the quilt?  (EX. Raffle, Silent Auction, Live Auction, Display)