Gateway Poultry Association, Inc.

Bloomington, Indiana

Junior Poultry Entry Form

Name__________________________ (17 years old and under) 

Address_______________________________________________

City___________________________      State_________     Zip_________

Phone_________________________    Email_________________________

Entries must be postmarked by midnight on Sat. March 29, 2008.

Mail to: Rick Bond  5244 Lick Creek Rd,  Morgantown, IN  46160

 B/LF  Breed/ variety                C  H  P  Total
             
             
             
             
             
             
             
             
             
             
             

                                 Total  Number of birds _______  x  $3.00 =     _______

  Double cage (add $3.00/ bird, label which bird) _______ x  $3.00 =     ______

  Inside Sales Area (10 ft x 10 ft)  _____________ x  $10.00 =  _________

**NO OUTSIDE SALES OR SALE COOPS IN 2008**

Planning to attend the Sat. banquet?  Number of people? _______ 

                                          TOTAL MONEY ENCLOSED =      ____________