NW PA MINI ME LIVE HORSE SHOW
ENTRY FORM
JUNE 1ST 2019
TO BE HELD AT THE JAMESTOWN ADELPHIC-MASONIC HALL
RT. 322 JAMESTOWN ,PA 16134
PAYPAL OR CHECKS ACCEPTED
payable to:
klfarm2000@yahoo.com
Karen Dietrich
4857 snake rd
Jamestown, PA 16134
(One entry per shower
please)
Name:
______________________________________________________________
Address:
_____________________________________________________________
City: _____________________________State: _______
Zip Code: _______________
Telephone Number:
(_____)_________________Email:__________________________
Seating Requests:
_________________________________________________________
Open Divisions:
All DIVISIONS: $45.00 ______
OF Breyer: $35.00 ______
OF Stone: $35.00 ______
OF China: $35.00 ______
OR FAMILY ENTRY $55 ____________
Proxy $20-____________________
Late fee after 5/2/19- $10-______
TOTAL-$_____________________
A Choice of 1/2 tables (3x4ft) or 3x3 card tables unless otherwise noted.
*Entrant may show in ALL Open Divisions )
No refunds given.. sorry!
ENTRY FORM
JUNE 1ST 2019
TO BE HELD AT THE JAMESTOWN ADELPHIC-MASONIC HALL
RT. 322 JAMESTOWN ,PA 16134
PAYPAL OR CHECKS ACCEPTED
payable to:
klfarm2000@yahoo.com
Karen Dietrich
4857 snake rd
Jamestown, PA 16134
(One entry per shower
please)
Name:
______________________________________________________________
Address:
_____________________________________________________________
City: _____________________________State: _______
Zip Code: _______________
Telephone Number:
(_____)_________________Email:__________________________
Seating Requests:
_________________________________________________________
Open Divisions:
All DIVISIONS: $45.00 ______
OF Breyer: $35.00 ______
OF Stone: $35.00 ______
OF China: $35.00 ______
OR FAMILY ENTRY $55 ____________
Proxy $20-____________________
Late fee after 5/2/19- $10-______
TOTAL-$_____________________
A Choice of 1/2 tables (3x4ft) or 3x3 card tables unless otherwise noted.
*Entrant may show in ALL Open Divisions )
No refunds given.. sorry!
