THIS SHEET IS TO BE INCLUDED WITH YOUR ENTRY TO HELP PROCESS YOUR ENTRY 

NAME:  _______________________________ FARM NAME: __________________________  
 
ADDRESS:  ___________________________________________________________________   

CITY:  _______________________________________  STATE:  ________  ZIP:  ___________   

PHONE:  ____________________________________ CELL:____________________________

STALL WITH:  _________________________________________________________________
                                  
(stall within the same string of cattle, one common tack area)   
STALL NEXT TO:  _____________________________________________________________
                                        
(each string has own tack area)
PAY PREMIUMS TO:  __________________________________________________________
                                      
Please Print                                                                          Signature                                 Date

PAYEE SOCIAL SECURITY OR TAX I.D.# FOR ABOVE: _____________________________
ENTRIES:    (Includes One Yard of Bedding Per Head) Per/Head   # of Head  Total
PARKING PASS (One per vehicle for entire show) $5.00   _______ = _______
BEDDING (one yard of bedding per head) $25.00   _______ = _______
BULLS  (Purebred) $50.00 x _______ = _______
BULLS  (Percentage 50 % - 87.4%) $50.00 x _______ = _______
COW/CALF OPEN SHOW ONLY (Purebred) $50.00 x _______ = _______
COW/CALF OPEN SHOW ONLY  (Percentage 50 % - 87.4%) $50.00 x _______ = _______
COW/CALF JUNIOR SHOW ONLY (Purebred) $25.00 x _______ = _______
COW/CALF JUNIOR SHOW ONLY  (Percentage 50 % - 87.4%) $25.00 x _______ = _______
COW/CALF BOTH SHOWS (Purebred) $75.00 x _______ = _______
COW/CALF BOTH SHOWS (Percentage 50 % - 87.4%) $75.00 x _______ = _______
FEMALES OPEN SHOW ONLY        (Purebred) $50.00 x _______ = _______
FEMALES OPEN SHOW ONLY        (Percentage 50 % - 87.4%) $50.00 x _______ = _______
FEMALES JUNIOR SHOW ONLY    (Purebred) $25.00 x _______ = _______
FEMALES JUNIOR SHOW ONLY    (Percentage 50 % - 87.4%) $25.00 x _______ = _______
FEMALES BOTH SHOWS                 (Purebred) $75.00 x _______ = _______
FEMALES BOTH SHOWS                 (Percentage) $75.00 x _______ = _______
STEER JUNIOR SHOW ONLY $25.00 x _______ = _______
GROUP CLASSES                     CGOS    GOS    POD    BPB&O    BH $50.00 x _______ = _______
EXTRA STALLS (PER HEAD) $50.00 x _______ = _______
LATE FEE    (PER HEAD, PER SHOW)  (MUST BE A MEMBER OF SWEEPSTAKES) $25.00 x _______ = _______
2007 ANNUAL MEMBERSHIP (COMPLETE ENCLOSED FORM)   $100.00 x _______ = _______
LIFE MEMBERSHIP                    (COMPLETE ENCLOSED FORM)  $500.00 x _______ = _______
BARN SOCIAL SPONSOR $25.00 x _______ = _______
BANNER SPONSOR     (DIVISION CHAMPION) $50.00 x _______ = _______
BANNER SPONSOR     (RESERVE GRAND CHAMPION) $75.00 x _______ = _______
BANNER SPONSOR     (GRAND CHAMPION) $100.00 x _______ = _______
KNIC OVERPECK SUPREME CHAMPION MEMORIAL DONATION _______ = _______
DENNY BENOODT PREMIER BREEDER MEMORIAL DONATION _______ = _______
                                                                 GRAND TOTAL ENCLOSED: = _______

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