Please Make Checks Payable to:
Roxane Fernandez, P.O. Box 36462, Las Vegas, NV 89133
Paypal: lvl2009@model-horses.com
Name ________________________________________________________________
Address ______________________________________________________________
City, State, Zip _________________________________________________________
Phone ___________________________ e-mail
______________________________
*Entry fee includes a full table and catered lunch for each day.* Proxy showers excluded.*
| Quantity | Item | Price | Total |
| One Day | $40 | ||
| Two Day | $75 | ||
| Three Day | $100 | ||
| Division Sponsorship | $10 | ||
| Section Sponsorship | $5 | ||
| Class Sponsorship | $2 | ||
| Proxy Shower (Max - 10 Horses) | $20 | ||
| Total |
Special Comments (Please request seating placement here and Division/Class Sponsorships):
________________________________________________________________________
________________________________________________________________________
I understand, by signing this completed form that I accept the show rules and judging criteria of the Las
Vegas Live Model Horse Show and I have read and understand the rules, fees, awards, and entry
requirements. I will not hold Jacquelynn Fernandez, Palace Station Hotel & Casino, judges and any
other helpers associated with the show responsible for any damage, loss, or theft of any items or
personal injury.
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