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: matt@romganolabeefgenetics.com.au 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:_______________________