Please forward all entries and payment to:
SA BEEF CATTLE BREEDERS ASSOCIATION, PO Box 108, Goodwood SA 5034
2016 SOUTH AUSTRALIAN BEEF CATTLE FIELD DAYS
All entries must be accompanied by the appropriate fee and must be received by
5.00pm, Wednesday 30th September 2015.
ENTRY FORM
NO LATE ENTRIES WILL BE ACCEPTED
SECTION 1 - Please supply all details in full
I/We wish to participate in the 2016 BEEF CATTLE FIELD DAYS as proposed in the Information Sheet and are prepared to subscribe the required Entry fee of $508.00 (GST incl).
STUD NAME: ............................................................................................................................. YOUR BREED(S) OF CATTLE: ..........................................................................
TRADING NAME: ………………………………………………………………………………………...DAY(i.e. Day 2 - Adelaide Hills) ........................................................................
PRINCIPAL(S):
....................................................................................................................... STUD MASTER(S): ..............................................................................................
ADDRESS: ..................................................................................................................................................................................................................................................................
Phone: …………………….. Fax: ………………………
Mobile: ……………………………….. Email: ...................................................... ………………………………………….
DIRECTIONS TO STUD (please include distance in kilometers, if the same as 2015 indicate “no change from 2015”):
. ......................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................
SECTION 2 – Order name badges, pen cards & road signs
SECTION 3 – Public Liability Insurance
Did you participate in the 2015 SA Beef Field Days? Yes/No
I / We confirm that I / We have Public Liability Insurance to cover bodily injury
and/or property damage to third parties whilst conducting field day activities on
my/our farm.
Do you require any additional NAME BADGES?
(If not a first time participant payment of $11.00 per badge (GST incl) is required)
If YES, please print names clearly in FULL
________________________________
_________________________________
How many PEN CARDS do you require?
_____________________________
How many ROAD SIGNS do you require? _____________________________
(All first time participants will receive signs free of charge)
(All previous participants will be charged $20.00 (GST incl) per sign
Please indicate your preferred delivery/pick up option.
I will pick up my signs & pen cards from Rural Services, Adelaide Showground
Please deliver my signs & pen cards to my property
Name of Insurer: ____________________________________
Date of Expiry:
____________________________________
SECTION 4 - Declaration
I / We agree as 2016 SA Beef Field Day participants NOT TO ARRANGE AND/OR
CONDUCT ANY AUCTION SALE OF ANY KIND INCLUDING HELMSMAN
between 9.00am, 7/2/2016 and 5.00pm, 10/2/2016. Only private sales are permitted.
I / We also understand that the SA Beef Cattle Breeders Association reserves the
right to cancel the event should there be insufficient entry numbers.
Signature:
____________________________________
Date:
____________________________________