ARIPEX 2011 OFFICIAL ENTRY FORM
January 14, 15 & 16, 2011
Exhibitors Name:
..
Address:
...
City, State/ Zip Code
Email
Telephone #:
Society & Club Affiliations:
Novice Exhibitor: YES:
. NO:
. Date of Birth: Youth Class Only:
I agree to enter the exhibit below in ARIPEX
2011 in accordance with the requirements of the ARIPEX 2011 Prospectus.
Signature of Exhibitor:
Date:
Exhibit Title:
Class:
..
Delivery and Return:
( ) Exhibit
will be mailed prepaid to the ARIPEX 2011 Exhibit Chairman.
( ) Exhibit
will be hand carried to the
( ) Exhibit
will be picked up by Exhibitor on Sunday, Jan. 16, 2011 after 3 PM.
( ) Exhibit
to be returned by mail, USPS Express Mail:
. Registered Mail:
( ) Return
postage enclosed: YES
.. Amount: $
.
Frame and Entry Fees:
Adult Class:
$12.00 per frame, No. of Frames
FEE: $
.
Single Frame:
$20.00 per single frame, FEE: $
..
Youth Class:
$1.00 per frame, No. of Frames
.. FEE $
..
Non-Competitive**:$1.00 per frame, No. of Frames
..
FEE $
..
** With approval of the ARIPEX Exhibit Chairman.
ARIPEX 2011 Exhibit Chairman
John Wynns
Email: jwynns96@cox.net
.For ARIPEX Exhibit Committee
Use
Exhibit Mounted by:
Frame
Numbers:
...
Exhibit Taken Down by:
Disposition of Exhibit:
Received by:
(Signature required of owner
or agent)
Returned by Mail:
.