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ENTRY FORM

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NAME:                                                                                         Region 10  #:                          

Address:                                                                                                                                         

City:                                                                    State:                        Zip:                                     

Telephone number:                                                                                             

 E-mail address:                                                                                                   

 

Please send results:                          E-mail                                            Snail Mail

Entry:  Both Saturday and Sunday  (Open Show)                        $75.00

$

Entry:  Saturday only  (Open Show)                                               $50.00

$

Entry Sunday only    (Open Show)                                                  $50.00

$

Helper/Guest Fee ($15.00/person x_______ people)

$

Novice Show Entry (Sunday)                                                          $35.00

$

Vendor Space only - both Saturday and Sunday                         $65.00

$

Vendor Space only - one day (please indicate day)                    $35.00

Class Sponsorship ($5.00/class - please indicate class)

$

Ring Sponsorship $30.00 per ring

$

Donation to Raffle or Auction (please submit ad for program)

Ad for show program - Full Page  $ 2.00             Half Page $1.00

Saturday Night Pizza Party - $10.00 (includes fun, frivolity, pizza, beverage, salad and cake!) $

Total Due:  (Please print this form and send along with payment.)

 $

 

Please print this form and send along with payment.  

Please make check or money order payable to:   

Dianne Lievense
85C Yorkshire Drive
Guilderland, NY  12084
(518) 862-2294

  Payments through Non-Credit Card paypal can also be made: dlievens@nycap.rr.com

For Credit Card paypal, please contact me at dlievens@nycap.rr.com for the correct account information.