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[null,"ONTARIO POULTRY BREEDERS"]
[null,"ENTRY FORM"]
[]
["ENTRY FEES:",null,null,null,"PLEASE NOTE ENTRIES                                                         MUST BE POSTMARKED BY                                            September 29,2017                                                                     Must be accompanied with payment",{"$nulls":4},"MAIL ENTRIES TO:"]
[null,"$3.00 per bird",{"$nulls":7},"Troy Laroche"]
[null,"$9.00 per trio",{"$nulls":7},"12187 8th Line"]
[" ","$6.00 Double coop LF ",{"$nulls":7},"Georgetown, ON"]
[null,null," ",{"$nulls":6},"L7G 4S4"]
["Make cheques payable to:"]
["Troy Laroche c/o OPB"]
[]
[]
[null,"I, _________________________________________________________________________ make the following entries subject to OPB rules."]
[null,null,null,"(your name)"]
[]
[null,"Address: _______________________________________________________________________ Phone Number: ______________________"]
[]
[]
[null,"Email Address: __________________________________________________________________________________"]
[]
[]
[null,"# of Entries       X $_3.00_+   #     of  Doubld coops ( LF only ) X $ 6   +  Plus $5 clean up fee            Total Enclosed $"]
[]
["JUNIORS - CHECK HERE: ",null,null,null," Junior may show open and jr show with different birds fill in Open entries on separate sheet "]
[]
[null,null,"BANTAM or LARGE FOWL ",null,"NAME OF VARIETY AND BREED","Cock","Hen","Cockerel","Pullet","YOUNG Trio","OLD Trio"]
[null,1]
[null,2]
[null,3]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[]
[null," "]

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