Heartland Classic Poultry Show						Open Show
Entries Postmarked by		SEMO Fairgrounds	Show Dates			Mail Entries to:
03/08/2010		Gape Girardeau, MO	March 20-21,2010			Tom Wheeler
						P.O. Box 351
Full Description: Breed, Variety, S.C., R.C., Bearded, Non-Bearded, Bantam, Standard						Marion, IL 62959
Bantam (B)	Variety	Breed	Double	Cock	Hen	Cockerel	Pullet
or			Coop
Large (L)			(large only)
Total Number of Bantams		_______ @ $2.50 each =
Total Number of Large Fowl		_______ @ $2.50 each =
Total Number of Water Fowl		_______ @ $2.50 each =
Total Number of Double Coops		_______ @ $5.00 each =
Total Number of Sales Coops		_______ @ $2.50 each =			Total Enclosed = _____________
Name               ___________________________________
Address            ___________________________________
City/State/Zip    ___________________________________
Phone Number  ___________________________________
E-mail              ___________________________________