Mail To:   Bob Abbitt   671 Concord Rd.,  Gosport, In. 47433              " MAIL  BY  MARCH 31, 2012"

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Band  Number	Breed	Color / Discription	Old Cock	Old Hen	Yearling Cock	Yearling Hen	F= Fancy
							S= Sporting
							U= Utility

Entry  Fee------------------------------ X $3.00    =    $__________________     Name_________________________________

Sale Cages------------------------------X $3.00   =     $__________________    Address_______________________________

Total  Amount  Paid ------------------------   $______________    City___________ State__________

Phone ___________________________          Open   or   Jr.                                      Zip________________