AUGUSTA COUNTY FAIR OFFICIAL ENTRY FORM

                                                (Tags may be picked up on Friday before the Fair)                               #                             

(Official Use Only)

***General Entry Form for all, Except Livestock Exhibits***

                                                                                                                                                                           MAIL ENTRIES TO:

EXHIBITOR’S NAME:                                                                                                                               Augusta County Fair

ADDRESS:                                                                                                                                                      P. O. Box 590

CITY:                                                                            STATE:                                                                    Verona, Virginia 24482

ZIP:                                         PHONE:                                                                                                        

EACH EXHIBITOR MUST FILL OUT A SEPARATE ENTRY FORM.  THIS FORM MAY BE DUPLICATED.

ENTRIES MUST BE POSTMARKED BY JULY 27, 2012.

I hereby enter the following exhibits at my own risk, subject to the Rules and Regulations of the Augusta County Fair.

Signature:                                                           Birthdate: (19 & under) ___________      Age: (19& under) _________      Date:               __