Page 42 - 2019 Livestock Catalog
P. 42

2019 North Carolina Mountain State Fair
                                                     Department W
                                             Very Special Livestock Show

                       Mail Entry Forms To:  N.C. Mountain State Fair
                                             1301 Fanning Bridge Road
                                             Fletcher, NC 28732
                                             Phone: (828) 687 – 1414
                                             Entry deadline is  AUGUST 23, 2019
                     (Getting entry form in on time will ensure fair tickets and passes will be availible to exhibitor)



        Name: ______________________________________________________________________________
                       First                                             MI           Last

        Address:  ____________________________________________________________________________

        City / State / Zip: ______________________________________________________________________

        County:  _______________________________ Phone / Fax:  __________________________________

        Data of Birth: ______________________  Email:  ____________________________________________________

                      NO PREMIUMS WILL BE PAID WITHOUT A COMPLETED W-9 FILLED OUT WITH
                                     SOCIAL SECURITY NUMBER OR TAX ID NUMBER.
                                I will fi ll out a W-9 form.              or                      I do not want to recive my premiums.


        Please list last 4 didigts of Social Security / Federal Tax ID:  XXX-XX-___________________
                 IF THE NUMBER LISTED DOES NOT MATCH THE ABOVE NAME, YOU COULD BE SUBJECT TO IRS FINES.

        Please check the box of the class/classes you would like to participate in:               W101  Wool Breed Sheep
                                                                                      W102  Meat Goat
        T-Shirt Size: __________


        To enable the MC to make the show personal for each contestant, please fi ll out as many questions as possible.
        All or some of the information below may be used.  The questions are optional; it is not neccessary to answer to
        enter the show.


           1.  Do you attend school? If so, where? ________________________________________________________
                Who is your favorite teacher and why? ____________________________________________________
           2.  If you were President, what would you do fi rst?_______________________________________________
                ___________________________________________________________________________________

           3.  What is your favorite restaurant?  Favorite food? ______________________________________________
           4.  If you could outlaw one vegetable, what would it be?___________________________________________
           5.  If you could invent something that would make life easier for people, what would you invent? __________
                ___________________________________________________________________________________

           6.  Do you have a pet?  If so, what kind?________________________________________________________
                What is your pet’s name? _______________________________________________________________
                What is the funniest thing your pet has done? _______________________________________________



                             Please continue to the back side for remaining questions. Thank you.
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