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                                             -- ______

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

LATE FEE if postmarked after February 10, 2019 -- ADD $5.00          -- ______



ALL FEES DUE BY FEBRUARY 18, 2019                    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. Please make checks and money orders out to Jennifer Moore.

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

Mail entries to --

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

Laissez Les Bon 
Temps Rouler!!!