ENTRY FORM
USE ONE ENTRY PER PERSON (COPY IF NECESSARY). This entry or a copy
of this entry must be sent in with a check or money order, along with a self
addressed, stamped envelope. Canadian members must pay with a US Money Order.
IMPORTANT PLEASE READ CAREFULLY
1.
Registrants at the time of registration must present their current FMDAC
membership
card.
2. Please fill out the form COMPLETEL Y, including the FMDAC club to which
you belong. Your signature is very important. If you do not sign the release, you
will not be permitted to hunt.
3. There will be $25 returned check fee.
4. Pack your tickets early. NO TICKET - NO ENTRY.
5. Hunt will be
held rain or shine. NO REFUNDS. Please complete the form and
make check/money
order payable to the FMDAC and mail to:
JILL MCFEEDERS
7025 DOVER ZOAR RD.
DOVER,
OH 44622
DON'T FORGET YOUR
SELF ADDRESSED STAMPED ENVELOPE - (Tickets and info will
be sent back to you.) If you do not
send it, your tickets will be held.
I am a member of the FMDAC in good standing
and I wish to participate in the
following events.
SATURDAY HUNT
(Until
9/1) $60_____ (9/1 to 9/15)
$65____ (After 9/15) $70____
BANQUET
(Until 9/1) $30____ (9/1
to 9/115)
$35____ (After 9/15) $4)____
SUNDAY HUNTS
(Until 9/1)
$120_____ (9/1 to
9115) $125_____ (After 9115) $140 ____
DO NOT MAIL AFTER 9/23/2011, PAY
AT THE CONVENTION WITH
CASH. - NO CHECKS WILL BE ACCEPTED AT CONVENTION.
I have enclosed a check/money order (US FUNDS) in the amount of $ .______
NAME ____________________________________________________
ADDRESS ____________________________________
CITY_______________ STATE_______ ZIP______
CLUB ____________________________________________________
PHONE_______________________ e-mail__________________
I acknowledge
that I WILL NOT hold the FMDAC, or Springmaid Resort responsible
for any injuries or accidents I may incur while participating in any of the above
events.
