East Montgomery County Fair

Chick Order Form

Name of EXHIBITOR(s)                                                                                    

(one order form per family)

Address:                                                                                                             

Phone:                                                                                                                 

Club/Chapter:                                                                                                   

Please circle the number of Birds you are ordering. (Chickens must be ordered in multiples of twenty-five lots.) Exhibitor(s) must show pen of chickens out of the numbers assigned to the individual or family.

                    25          X          $1.05          =                         

                    50          X          $1.05          =                         

                    75          X          $1.05          =                         

                    100        X          $1.05          =                         

                    Other     X          $1.05          =                         

                    + $5.00 Entry Fee        =                                Total