North East Congress Live

Entry From

Or, if you'd prefer a .pdf or Word Doc. of the show packet, please email me.

 

North East Congress Live 2009

ENTRY FORM
(To be sent with check or money order)


NAME:  _______________________________________  REGION 10 # ____

ADDRESS: _____________________________________________________________

_____________________________________________________________

PHONE NUMBER:  (__________)  _______ - ______________________

E-MAIL ADDRESS:________________________________@___________________


I am entering in  OF_______ AR______


Entry fee: $35 for one division (OF or CM)... or $45 for both.  Proxy fee $3 per horse (up to 10).

Also... Sponsor a class for $5, or sponsor a division for $25! 


Entry fee_______
Proxy fee_______

Sponsor a class and/or division_______  Specify class/division:___________________________________________

TOTAL   _______

How would you like results (circle one):   email   or   snail mail   

Would you like confirmation of this receipt?_______
Please include SASE for mail confirmation.


Please send entry form and check/MO to:

Liesl Dalpe
1090 Main Street
South Windsor CT 06074