Iverk Show Piltown, Co. Kilkenny

Horse & Pony Section Entry Form
(please write clearly and distinctly)

ENTRY FEE MUST ACCOMPANY ENTERIES

(Do not send Cash through the Post. Cheques or Money Orders are safer)

Class No

Name and Description of Animal

Date of Birth

Sex M/F

Registration Number

Colour

Name of Sire

Name of Dam

Entry Fee
                 
                 
                 
                 
                 
                 
                 
                 
                 
              Total  Enclosed €

Note: All exhibitors are obliged to have their animal insured for Public Liability

All Horse and Pony Entries to:

Mrs Nan Kearns,
Tobernabrone,
Piltown,
Co. Kilkenny

Phone: 051-643344

(Note; Name & Address must be in BLOCK CAPITALS)

Exhibitors Name: ……………………………………….

Address:………………………………………………………

……………………………………………………………….
I agree to accept and abide by the rules of the show

Signature_______________________________

Ph No.__________________________________