Exhibitors using this form and postmarked no later than 1 week prior to each show will  not be charged the $10.00 office fee!

HORSES NAME:_____________________________________________________

RIDER :________________________________________________DOB_________

ADDRESS:____________________________________________________________

CITY,STATE,ZIP______________________________________________________

CONTACT NUMBER:__________________________________________________

STALL($45.00)______________________ STABLE WITH_____________________

BEDDING ($6.00/BAG):  #_________X 6=________________

TRAINER__________________________

GROUNDS FEE: $25.00 ____________(IF NO STALL)

PLEASE MAKE CHECKS PAYABLE TO: DUBLIN FARMS 
MAIL TO:
8498 BYRNESVILLE RD. HOUSE SPRING, MO. 63051

Phone: 636-285-2800   

Toll Free:  866-584-2800

Fax: 636-274-0664

PLEASE PRINT AND MAIL THIS PAGE TO ENTER.
You will receive a call of confirmation from the show secretary upon it's receipt! Thanks!!!!