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CLINTON COUNTY FAIR DAIRY
Premise I.D. Number_________________________ Soc. Sec # _________-______-________
Name__________________________________________ Birthday ______/______/__________ (jr. exhibitors only) Address ____________________________________
City __________________ State _____ Zip ________
Mail Entries To: Robert Sinclair, 1051 Monroe, Carlyle, Illinois 62231 or email clintoncountyfair@yahoo.com
Total Passes $ ________________ Office Use Only: Total Stall/Pens $ ________________ _____ Cash _________ Check # Total Entry Fees $ ________________ Make Checks Payable to: Clinton County Fair One Exhibitor Per Entry Blank. Total Due $ ________________ This form may be photocopied if additional forms are needed.
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