Secretary Use Only: Check NO



Secretary Use Only: Check NO.__________ Amount Paid_________ Health Papers____________ Entry Number________

Heart of the Ozarks Poultry Association

1st Annual Spring Show- April 27th 2019

Official Entry Form

Open Show Entry Form

Entries Close April 8th 2019

A COPY OF YOUR NPIP PAPERS MUST BE ENCLOSED!! NO EXCEPTIONS!!

Name____________________________________Address____________________________________________________

City/State/Zip_______________________________________Phone: ______________Email:_______________________

L, B W | |

Breed |

Variety |Comb Type |Double

Coop |Cock |Hen |Cockerel |Pullet | | | | |1. | | | | | | | | | | | | |2. | | | | | | | | | | | | |3. | | | | | | | | | | | | |4. | | | | | | | | | | | | |5. | | | | | | | | | | | | |6. | | | | | | | | | | | | |7. | | | | | | | | | | | | |8. | | | | | | | | | | | | |9. | | | | | | | | | | | | |10. | | | | | | | | | | | | |11. | | | | | | | | | | | | |12. | | | | | | | | | | | | |13. | | | | | | | | | | | | |14. | | | | | | | | | | | | |15. | | | | | | | | | | | | |16. | | | | | | | | | | | | |17. | | | | | | | | | | | | |18. | | | | | | | | | | | | |19. | | | | | | | | | | | | |20. | | | | | | | | | | | | |21. | | | | | | | | | | | | |22. | | | | | | | | | | | | |23. | | | | | | | | | | | | |24. | | | | | | | | | | | | |25. | | | | | | | | | | | |

Total Number of single Birds Entered=____ X 6.00 Open =_________

Total Number of Double Coops=____ X 12.00 Open=__________

Membership 5.00 Junior, 8.00 Individual, 12.00 Family=_________

Total Entry Enclosed=_________

Please check the Double coop box on this form if a Double Coop is needed Large Fowl Only!

Send All Entries to: Jacob Bates P.O. Box 208 Charleston, AR 72933

MAKE ALL CHECKS PAYABLE TO HOTOPA.

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