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Whitt Ag entry form - horseQXD

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Whitt Ag entry form - horseQXD

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									Whitt Ag entry form - horse minet               25/8/09      9:48 AM      Page 1




  WHITTLESEA AGRICULTURAL SOCIETY INC. No. A2891
                                                                                               I agree to my personal information
                                                                                               being provided to the Royal                                  WHITTLESEA AGRICULTURAL SOCIETY INC.
                                                                                               Agricultural Society of Victoria                                                 Inc. No. A2891            A.B.N. 84 030 324 717
                                                                                               Limited and the Port Phillip Group of
                                                                                               Agricultural Societies for the purpose                        P.O. Box 83, WHITTLESEA VICTORIA, 3757
                                                                                                                                                     Telephone: 9716 2835 Email: info@whittleseashow.org.au
                           NOTICE TO                                                           of administering my entry in the
                                                                                               Group and State Finals (where
                                                                                               applicable) and for publication                             Website: www.whittleseashow.org.au
                                                                                                                                                                                                                                                               OFFICE USE
                                                                                               where applicable.

                           EXHIBITOR                                                                 TAX INVOICE                                  HORSE ENTRY FORM                                                                                             EOD
                                                                                                                                                                                                                                                               No. of horses............

                                                               Office Use                       Office Use                                                                                                                                                              Fees
         Name of Exhibit                  Group      Class                                                        Group         Class                Name of each Exhibit                                         Name of Exhibitor
                                                                  Only                             Only                                                                                                                                                            Including GST




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                                                                                                                                                                                                                                   SE
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  Please return complete entry form/Tax Invoice and                                                                                           MEMBER’S TICKET No. ..................................................                         Sub Total
                                                                                               I declare the above entries to be my bona
    retain a copy for your own records, if required.                                           fide property and I agree to abide by the
                                                                                               Rules and Regulations of the EFA and abide     ABN (if applicable) ......................................................              Membership
                                                                                               by the Disciplinary actions and penalties of
                                  NOTE:                                                        the EFA disciplinary Committee.                Registered for GST               Yes / No ? .................................                     Total
                                                                                               This entry is made subject to the Rules and                                                                                             including GST
                                                                                               Regulations of the Society. Names must be
           This ticket does NOT entitle you to free                                            submitted or no Nominations will be taken.     MR./MRS./MISS.................................................................................................................................
                                                                                               Unless number of Member’s Ticket is quoted
                     entry to the Grounds.                                                     or a ticket requested at the time of lodging
                                                                                               entries, full fees will be charged and no      ADDRESS.....................................................................................................P/CODE.......................
                                                                                               refunds allowed afterwards.      Fees must
  EXHIBITOR.........................................................                           accompany entry.
  ADDRESS..........................................................                            DUPLICATE COPY OF PEDIGREE                     TELEPHONE:......................................................................
                                                                                               CERTIFICATE FOR BREED CLASSES
  ..........................................................................                   MUST BE ATTACHED.                              DATE.....................................................   SIGNATURE.....................................................................

								
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