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REG. NO.

NATIONAL Tag No. (Cattle)

ADDRESS :

Email Address : Mobile No:

SIRE

BREEDER

FEE

P.T.O.

Virginia Show Entry Form 2012:Virginia Show Entry Form 2006

Total Money Due €

14/06/2012

12:51

Page 4

NAME : (block capitals) ADDRESS (In Full) (block capitals)

Please complete for Ring Number :

DAM

VIRGINIA AGRICULTURAL SHOW SOCIETY (INCORPORATED)

COLOUR

Virginia Show - Wednesday, 22nd August 2012

SEX

PLEASE COMPLETE IN BLOCK CAPITALS

AGE

ENTRY FORM FOR ANIMAL SECTIONS ONLY EXHIBITOR’S NAME :

NAME OF EXHIBIT

All details MUST appear on entry form CLASS NO.

I accept the Rules of the Show and wish to enter the Exhibit(s) Particulars of which I have set out above.

ENTRY FORMS MUST BE ACCOMPANIED BY FULL ENTRY FEES • Entries must reach the Secretary, Catherine Murtagh, Showgrounds, Virginia, Total Remittance : € not later than Friday 10th August, 2012. Tel. 049 - 8547197 Fax. 049 - 8548308 E-mail: virginiashow@eircom.net • Do you wish to be paid Prize Money Electronically YES NO

Virginia Entry 2012 No 2