2008 ARPU Heartland Federation Convention

                                Entry Form

 THIS INFORMATION MUST ACCOMPANY THE BIRDS

PLEASE FILL THE FORM INCLUDING  HANDLERS NAME

 

Breeder Name:

Phone Number:

Address

City:

State:

Zip code:

Social Security #

BAND NUMBER & COLOR                    

HANDLER

Entry Fee:

1 bird for $125.00

or

3 birds for $300.00

1

 

2

 

3 Rotation

6

Rotation 

 

R = Rotation

Breeder Name:

Phone Number:

Address

City:

State:

Zip code:

Social Security #

BAND NUMBER              COLOR        SEX

HANDLER

Entry Fee:

1 bird for $125.00

or

3 birds for $300.00

1

 4

 

2

 5

 

3 Rotation

 6

Rotation

 

   R = Rotation

 

Make Check payable to:  Heartland Racing Pigeon Federation

 

Ship birds to: Gary Hegner  

1458 Albemarle Street  St. Paul, MN 55117

Phone #651 489 0185

 

FOR OFFICIAL USE ONLY:    Birds are accepted on March 15th to June 1st 2008

"We recommend shipping birds Sunday through Wednesday only"

_______________________________________________________________________________________________

Replacement till June 15th 2008                                                                         

  Check Number:  

Entry Fees must be paid when shipment is received.

Check Number:

 

TOTAL AMOUNT