Wilferd&Rebecca Gilby---109 Garden Road Belnan,NS ------B2S2N4 Telephone (902) 883-8057 E mail-wilred.gilby@ns.sympatico.ca ENTRY FORM – OPEN BEEF CATTLE OFF-SITE 2014 INSURANCE: PROOF (PHOTOCOPY) OF $1,000,000.00 LIABILITY INSURANCE MUST BE ATTACHED. Exhibitor’s Name:____________________________ Postal Code:___________ CLASS BREED Phone #:______________ NAME OF ANIMAL Mailing Address:________________________________________________________________________ Make cheque payable to:________________________ REG. # BIRTHDATE TATTOO # Required Entries Due Friday, September 28,2014. NAME OF SIRE NAME OF DAM Rate $15.00/ Entry $15.00/ Night (trailer park) $5.00/ Animal (tie outs) GRAND TOTAL BREEDER OF ENTRY Total COPY OF REGISTRATION MUST BE ATTACHED. PLEASE DO NOT SEND ORIGINAL The undersigned, having read the regulations governing the show, proposes to exhibit the livestock hereinafter named and does certify that the same is entered in accordance with the rules and regulations contained in the prize book. …………………………………………… EMAIL ADDRESS PLEASE…………………………………………………………………………….. Signature of Owner or Agent All fees must be made payable to Maritime Fall Fair. USE SEPARATE ENTRY FORM FOR EACH EXHIBITOR PLEASE STABLE NEXT TO______________________________________