NLS entry form

 

NON-LIVESTOCK ENTRY FORM

Please use the link below to access the form:

Entry form

Entries Close June 5, 2023

Please Print in Ink or Type Only. List items entered on next page.  

Please fill out separate entry forms for each exhibitor—entry form can be duplicated

 

Mail Entry Form and payment to:  Piatt County Fair, P.O. Box 588, Cerro Gordo, IL 61818

 

You may make Entries in person on Saturday, June 3 from 11:00 a.m. to 1:30 p.m.

If you have questions, please call Carol Kussart at 217-855-3258

 EXHIBITOR’S NAME:________________________________________________________________

 PHONE NUMBER: ___________________________________________________________

ADDRESS:_____________________________________________________________

 CITY:________________________  STATE:_________________   ZIP:___________ 

 Email: ________________________ D.O.B. (Required) ­­­­___________________

 Please enclose a check, payable to Piatt County Fair for the following:

                                                                                                                   Sub-Total:

Dept. J entry fee:   __________@ $1.50 per entry                                _______________

 

Dept. L entry fee: ___________@ $1.50 per entry                                _______________

 

Dept. M entry fee: __________@ $1.50 per entry                                 _______________

 

Dept. N entry fee: ___________@ $1.50 per entry                                _______________

 

Dept. O entry fee: ___________@ $1.50 per entry                                _______________

 

Dept. V-1 entry fee: _________@ $1.00 per entry                                 _______________

 

Dept. AA entry fee:____0_____ no entry fee                                                  

Total  (Payment must be included with this form.  Thank you.)            $______________

                                              

 

Name: _______________________________

 

Dept.	Class #	Description	Entry Fee