Dickey County Fair Junior Point Show Registration FormExhibitor Name: ________________________________________________ Address: ______________________________________________________ City: _____________________________ State: ________ Zip: __________ Class Number: ______________________________ Lot Number: ________________________________ Registered Animals Registration Number: _____________________________________________________________ Birth Date of Animal: _____________________________________________ Name of Animal: ________________________________________________ Tag Number or Tattoo of Animal: ___________________________________ Total Amount of Entry Fee ($5.00/animal): _____________________________
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