Exhibitor Name: _______________________________________SMF Exhibitor #:_________

Mailing Address: _______________________________________________________________

Telephone: ____________________ Email Address:__________________________________

Junior Exhibitor:  Date of Birth:_______ Chapter or Club Name:__________________

Exhibitor Number: $1.00 (This fee will be waived if entry received by August 1.)
Livestock Entry Fee:  $2.00 per animal (There is no fee for 4H and FFA classes.)

Number of Pens Requested:__________

Breed: ___________________________________

Dept. | Section | Class | Ear Tag/ |       Animal Name        |   DOB   |
      |         |       | Tattoo # |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|
      |         |       |          |                          |         |
______|_________|_______|__________|__________________________|_________|

Please make all checks payable to South Mountain Fair.

I hearby agree to abide by the rules found in the South Mountain Fair
Premium Book.  Failure to do so may result in premium forfeiture.

Signature of Exhibitor:____________________________________

Total Entry Fees Enclosed: $___________

RETURN TO:  APRIL SHORB
            120 SHAFFER LANE
            FAIRFIELD, PA 17302