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Physical Location of Sampler

Location Where Sampler Was Stitched

Type of Sampler

Size of Sampler

Condition of Sampler

Fabric Type

Embroidery Thread Type

Alphabets and Numerals

Borders, Motifs and Stitches

Additional Sampler Details

Photographs

Permissions

By checking below, you give permission to the Embroiderers' Association of Canada, Inc./Association canadienne de broderie, Inc. (EAC/ACB) to record your information, as shown below, for use in the EAC/ACB Sampler Registry records for this Sampler. You understand the information is required in order to record the location of such samplers you may own and wish EAC/ACB to document. You further give permission to EAC/ACB to use the sampler and my initials only for publication in Embroidery Canada or on the EAC/ACB website.