Swine Show Entries (Please list month of birth for all purebreds)

Exhibitor _______________________________

Address________________________________

City_______________ State______ Zip________

Social Security #___________________________

Phone Number____________________________

If you run out of room on this form, please put info on another piece of paper and include breed & month of birth for each entry.

Open Barrow Show (please list breed & month of birth for each entry)

# of Barrows_________ x $25=___________

1.

2.

3.

4.

5.

TOTAL______________________________

Junior Swine Show (please list breed & month of birth for each entry)

# of Barrows__________ x $15=_____________

# of Gilts_____________ x $15=_____________

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

TOTAL_________________________________

After August 26, add $5.00 per entry. For more information call John Sundberg (815) 866-4367 or Keith Fassig (815) 739-8994