Please check with the Illinois Dept. of Agriculture for all Livestock Health Requirements

Entry Blank - The Western Illinois Fair - Exhibitor's No:_______

Griggsville, Illinois 

Please accept the following entries:

Dept.

Prem No.

Description
     
     
     
     
     
     
     
     
     
     
     
     
     
Check enclosed for the following:
#
Camper Nights @ $7.00 per night=
$
Important! Please enter the number of animals entered:
#
Exhibitor's Tickets @ $____.00=
$
#
Hogs
#
Horses
#
Cattle Stalls @ $10.00=
$
#
Cattle
#
Sheep
#
Hog Pens @ $10.00=
$



X____________________________________________
Signature of Exhibitor
Print Name:
Address:
 
 
SS Number
Home Phone
Cell Phone
County
#
Sheep Pens @ $10.00=
$
Entry Fee on Winners only.

Total Enclosed:
$

Please use separate entry blank for each department.

Mail forms and check to:
Western Illinois Fair
P. O. Box 539
Griggsville, IL  62340