2009 Preble County Open Class Entry Form

Department 9-10-11 Entry Form

(Farm Products, Household, Antiques, Fine Arts, Photography)

Please refer to the Preble County Fair Book or

http://www.preblecountyfair.org for more information.

Exhibitor’s Full Name:_____________________________________________________________________________

Address:________________________________________________________________________________________

Street City Zip

Phone: (_____) ________________________________________________

Dept #

Class #/ Description

Class #

Any Other Information

The undersigned hereby affirms that they have read and understand the rules and regulations and agrees to be bound by the rules and regulations of the Preble County Fair, and further agrees to bound by the decision of the Preble County Agricultural Society in case of any dispute arising from the interpretation or application thereof.

Exhibitor Signature: ________________________________________________________ Date: _________________

Total # of Entries _____ x $0.25 per entry= _______________

TOTAL AMOUNT DUE= $ ___________________

RECEIPT # ___________________