HOCKING COUNTY SR. FAIR ENTRY FORM

NAME_________________________________________PHONE___________________

ADDRESS________________________________________________________________

DEPT. NUMBER                   ITEM NUMBER & DESCRIPTION

_________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

____________________________________________________________________________

_______________________________________________________________________________

__________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

_________________________________________________________________________

________________________________________________________________________

___________________________________________________________________________

MAILED ENTRIES MUST BE POSTMARKED NO LATER THAN AUGUST 20, 2011. METERED POSTMARKS ARE NOT ACCEPTABLE! ENTRIES  RECEIVED WITHOUT THE PAYMENT FOR ENTRIES AND PASS(ES_) WILL NOT BE ACCEPTED.

HOCKING COUNTY JR. FAIR KING, QUEEN, PRINCE, PRINCESS ENTRY