STUD CATTLE NOMINATION FORM Sarina Show Society PO Box 119, Sarina. Qld. 4737 Ph: (07) 4956 1066 Fax: (07) 4956 2036 Email: tsarina.showsoc@bigpond.com.au This year Show – 6th & 7th August, 2011 Breed:_________________________________________________________________Date:_________________ Division Class No Name of Entry Stud Book No Date of Birth Sire Dam Nomination Fee Name of Stud/Exhibitor:…………………………………………………………………………..Contact Name/s:……………………………………………………………………………………………………………… Postal Address:………………………………………………………………………………………….Email:…………………………………………………………………………………………………………………………….. Contact Phone:…………………………………………………………Mobile:…………………………………………………………….Fax:………………………………………………………………………………………. ENTRIES CLOSE: FRIDAY ENTRIES FEES MUST ACCOMPANY THIS FORM I certify that the above particulars are correct and accept the regulations as printed in the schedule and make these entries subject to such regulations and rules of the society. Signature:………………………………………………..Name if different to above listed contact:………………………………………………………….Date:……………………………..