TITLE: / INITIALS
(2 if poss.) / SURNAME:
ADDRESS:
COUNTY:
POSTCODE: / TEL: NO: / MOB:
Email:
NAME OF OTHER MEMBER, IF JOINT MEMBERSHIP:
NAME OF PERSON TO WHOM PRIZE MONEY IS PAYABLE:
Breed / Number of Pens
Any Other Pedigree Modern
Any Other Pedigree Traditional
Berkshire
British Landrace
British Lop
British Saddleback
Duroc
Gloucestershire Old Spot
Hampshire
Large Black
Large White
Middle White
Oxford, Sandy & Blacks
Pietrain
Tamworth
Welsh
Total Number of Pens
Due to limited space we are unable to offer pens for tack.
Membership: Single £55.00 Joint £83.00
Pig Line Cubicles: Indicate number Required Members £22 - Non Members £32
Single cubicles with beds and mattresses. Please provide your own bedding and padlock.
Exhibitor Caravan Park: £65.00
Advance Tickets: Adult £23.00 Child £10.00
Concession £22.00 Family £56.00
Pig Catalogue: Please indicate no. of Pig catalogue(s) required, priced at £2.00 each.
Pig Catalogue vouchers will be forwarded with tickets.
Total entry fees brought forward
Please make cheques payable to the Yorkshire Agricultural Society Grand Total
Card Payment:
Card No Sec No
Expiry Date: Start Date: Card Issue No:
(switch only)
Name of Cardholder
DECLARATION
The Yorkshire Agricultural Society ask that you sign the declaration below, stating that you understand, confirm and agree to adhere to the Rules and Regulations as stated in the 2015 Livestock schedule.
Exhibitor Signature
Please indicate below the postcode of where the animals are usually kept.
Section
(British Saddleback, Large White, etc) / Class
No. / Sex
(M/F) / Name of Animal and Ear No. / PLEASE STATE THE BREED FOR AOP AND INTERBREED CLASSES / Registration Number / Breeder Prefix/ Ear Number / Date of Birth / Sows / Pedigree
S: Sire
D: Dam / Entry Fee (inc. VAT)
(see above)
Date of last farrowing / Please state if ‘in milk’ or ‘in pig’ / £ / p
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Please feel free to copy this form if more space is needed. / Sub Total to Carry Forward