Poultry Entry Online Form

Exhibitor Name*

First Last

Email*

Phone

Address

Street Address Address Line 2 City State / Province / Region Post Code

Poultry #1 Details

Class

Pen Number

Description (Breed, Colour & cock, hen, ckl, pullet)

Do you have another poultry entry to register?*

Class

Pen Number

Description (Breed, Colour & cock, hen, ckl, pullet)

Please email all other enquiries or registrations to dean-taylor@bigpond.com