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Please fill in duplicate Crystal Brook --- North-Western Agricultural Society Inc.

ANNUAL SHOW - Saturday, 11th August 2007

EXHIBITORS ARE REQUESTED TO MAKE THEIR ENTRIES ON THIS FORM AND HAND IT TO THE SECRETARY, TOGETHER WITH ENTRY FEES. ONE COPY OF THIS FORM SHOULD BE KEPT FOR THE EXHIBITOR'S RECORD Entries may be faxed to (08) 8636 2194
Original to Show Office ENTRY FORM
SectionClass No. of
Entries		 Office
use only
Exhibit
Entry fee
$¢
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
ENTRY FEES   
MEMBERSHIP   
TOTAL   

ABN 88 779 385 428
This entry form will act as a Tax Invoice.
All fees GST Inc.
Exhibits to be collected from pavilion after 4.30pm.
Entering for senior aggregate Entering for junior aggregate
 
YES  		 NO
 
 
YES  		 NO
 

Name: .................................................................... PHONE NUMBER: .............................
(BLOCK LETTERS)
ADDRESS: ................................................................. ..........................................................................

..........................................................................
I, the undersigned, declare that the above exhibits are entered subject to the rules, regulations, and conditions of the above society.

SIGNATURE: ............................................