ENTRY BLANK (LIVESTOCK / ANIMAL)
MADISON COUNTY FAIR ASSOCIATION
PO BOX 111, HIGHLAND, IL 62249
Date
Name
Street
City
County
State
Email
SS # or Fed ID #
Phone
Date of Birth
# of Animals
Entry Fee
Stall/Pen Fee
Bedding Fee
Manure Disposal
Parking Sticker
Total Fees
Zip
$10.00
ALL FEES MUST ACCOMPANY MAILED LIVESTOCK ENTRIES
Dept
Class
Lot
Exhibitor Signature:
DOB
of Gilt
Description – including breed
Entry
Fee
Stall/Pen
Fee
Bedding
Totals:
The Department of Agriculture shall use its best efforts to secure sufficient appropriations to fund premiums. In any year in
which the General Assembly of the State of Illinois fails to make appropriations sufficient to pay such premiums, premium
amounts may not be accurately reflected in the premium book.
ENTRY DEADLINE: WEDNESDAY, JULY 16, 2014