Exhibitor Name:

Entry Fees (if any)

Address:

#

Membership Tickets

City:

St:

Zip:

Adults @ $15.00

Social Security #:

---                   ---

Children @ $3.00

Phone #:

Helpers Tickets @ $10.00 (for livestock only)

Check here if change of address

Camping Fees @ $12.00/night

Please enter the following exhibits for premiums at the Whiteside County Fair. I have read and agree to abide by the rules specified.

# of animals

# stalls/pens/head

Beef stalls @ $3.00/stall

Dairy Stalls @ $2.00/head

Signature:

Draft Horse  @ $3.00/stall

Date:

Sheep Pens @ $3.00/pen

Swine @ $2.00/pen

If paying by Visa or Mastercard, provide the following:

Rabbits

Card Number

______--______--______--______

Credit Card Convenience Fee $3.00

date of exp _____/_____ mm/yy

csv code _______

(A $3.00 Convenience fee will apply.)

Premise ID:

Total Enclosed    $

Mail entry(s) & payment to:

Whiteside County Fair

Required for all Livestock Entries

P.O. Box 88

Morrison, IL 61270

ALL FEES MUST ACCOMPANY ENTRY BLANK. NO FEES REFUNDED.

For office use only Exhibitor #:

Returned checks subject to a $25.00 Service Charge

Department

Premium #

Description (Use Wording of Premium Book)

Entry Fee        (if any)

Section

Class

One Department per page

Total Entry Fees:           $