Cajun Country Live Model Horse Show
            CAJUN COUNTRY LIVE ENTRY FORM


NAME -- _________________________________________________________

EMCAT # -- _______________________________________________________

ADDRESS -- ______________________________________________________

E-MAIL -- ________________________________________________________

CELL PHONE NUMBER -- _________________________________________

PROXY SHOWER -- _______________________________________________

OPEN SHOW OR VENDOR BOTH DAYS $75.00                                 -- ______

OPEN SHOW OR VENDOR ONE DAY $55.00                                      -- ______
Saturday -- ____      Sunday -- _____

Extra table for ONE day will be $25.00                                               -- ______
Saturday -- ____      Sunday -- _____

Extra table for BOTH days will be $35.00                                           -- ______

LUNCH (SATURDAY) $10.00 per person                                             -- ______
Number of Lunches  --  _____

LUNCH (SUNDAY) $10.00 per person                                                 -- ______
Number of Lunches  --  _____

PROXY FEE  ( Halter and Perf ) -- $3.00 per Horse                           -- ______
$3.00  X   --  _____

LATE FEE if postmarked after February 10, 2017 -- ADD $5.00 -- ______



ALL FEES DUE BY FEBRUARY 20, 2017                    TOTAL FEES     -- ______

                          PAYMENT INFORMATION

I am willing to take entry payment's with Pay Pal, Check or Money Order.
I would prefer a Check or Money Order.

Fees can be paid by Pay Pal to candjmoore1117@bellsouth.net

Please make checks and money orders payable to Jennifer Moore.

Mail entries to --

Jennifer Moore
1117 Big Woods / Vinton Rd.
Vinton, LA 70668




Laissez Les Bon
Temps Rouler!!!