stud cattle entry form

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STUD CATTLE ENTRY FORM
Entry fees must accompany this entry form
BREED
STUD PREFIX
Please use a separate entry form for each exhibitor &/or breed
EXHIBITOR NAME
ADDRESS
PHONE
MOBILE PHONE
Post Entries & Payment to:
Stud Cattle Section
Roma Show Society Inc
PO Box 139
ROMA Q 4455
Or
Email to:
[email protected]
ENTRY FEES (incl GST)
$22/entry for single classes
$5.50/entry for breeders group
EMAIL ADDRESS
ABN NO
ENTRIES CLOSE 30TH APRIL 2014
CLASS
NAME OF EXHIBIT
REGISTRATION
NO
DATE OF BIRTH
CUSTOM FITTER
NAME
PHONE NO
PIC NO
Entry fees can be paid by Direct Deposit (please email EFT confirmation)
Account Name: Roma Show Society Inc
BSB:
084 907
Account #:
12 377 0259
SIRE
DAM
ENTRY FEE
TOTAL ENTRY FEES
Prize Money will be paid directly to your nominated bank account within 30 days of judging
Account Name
BSB
Account #
I hereby apply to enter exhibits in your forthcoming show in accordance with the Rules, By-Laws and regulations of the Roma Show Society and the Queensland Chamber of Agricultural Societies.
Signed:
___________________________________________________
Date:_______________________
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