2009 Fort Sutter Classic One-Loft Event

Please fill out this entry form and send it with your birds to:

Mike Kurtzner
8611 Carlisle Ave
Sacramento, Ca 95828 

Band Number

Color

Primary

Backup

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Breeder’s Name………………………………………………………………………….

 

Address…………………………………………………………………………………...

 

City…………………………………………State…………….ZIP……………………

 

Home Phone:……………………………..Cell:………………………………………..

 

Entry Fee Paid by Check #....................$.........................Cash: $........................

 

Breeder’s Signature:……………………………………………………………………

 

Birds checked in by:…………………………………………Date:…………………..