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FORM |
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Address:
City: State: Zip:
e-mail:
I'd like my table near: (we'll try to accomodate your requests)
FEES: amount enclosed
| OF Youth Division only
(unlimited) (See Rule 5) |
$20 AGE OF YOUTH _________ | ARE YOU A 4-H MEMBER? o Yes o No |
| One Open Divsion (unlimited) |
$35 |
|
| Two Open Divisions(unlimited) | $45 | |
| Three or more Open Divisions (unlimited) | $55 | |
| OR Per Horse Fee: $20 for 1st
model; $5 each additional |
||
| Proxy $5 per model; $20 unlimited |
||
| Sales-Only Table or Extra Table | $15 | |
| Entry postmarked after April 1 |
$10 extra |
OPTIONAL
LUNCH: ORDERS MUST BE PLACED (AND
PAID FOR) BY APRIL 1
| Please enclose lunch page | $ __________ Lunch
Total ($7.00 per sack lunch)
|
SPONSORSHIPS: (optional)
(for
each $1 of sponsorship, your name goes
in special drawing)
____ classes x $1 each (get free black/white
classified or
business card ad)
____ championships x $5 each (gets free full page
black/white ad)
ADVERTISING IN PROGRAM
(BLACK/WHITE):
| Classified (50 words or business card) | $1.00 | |
| Half page (copy ready) | $3.00 | |
| Full page (copy ready) | $5.00 |
TO GET EXHIBITOR IDENTIFICATION CODE: (please
check one)
o I've
listed an e-mail address
o I'm enclosing a
SASE
OR
o I'm participating in
the Region 1 "Tag
Saver" Program. My entrant code is: __________
(click here to sign up for the
optional "Tag Saver"
Program )
MODEL LIST: (KEEP A COPY FOR YOURSELF)
You must provide a typed (or neatly printed) list of models
you are showing; it must have your name at the top, be numbered 1,2,3,
etc. in ascending
order (OK to skip numbers), must include each model's name,
breed and finish (OF, CM, or OF Plastic Mini);
list may be submitted now, later via e-mail, or on show day;
any changes or additions must be provided in writing to the showholder
(forms and a drop-box will be provided)
Donations: I plan to donate the
following item(s):________________________________
for o Auction
(items valued over approx. $20; ___% donation [50% min.]; submit your
free full page ad --copy ready -- black/white printing)
for o Raffle
(items valued over $10; submit your free
full page ad --copy ready -- black/white printing)
for o Door Prize
(items valued under $10; submit your free classified ad or business
card -- black/white printing)
(donors' names go
into special drawing)
The undersigned, on behalf of himself or herself, or if signed by a parent or guardian on behalf of the parent's child or guardian's minor, waives and releases Northwest Expo, its agents and representatives, from any claim or cause of action for any incident, injury, loss or damage to participant or the participant's property suffered as a consequence of or arising out of participation in Northwest Expo Model Horse Show.
Signature of Parent/Guardian or Adult Exhibitor
________________________________________________ Date:
______________________