Freistatt Lion s Club/ Lawrence County Fairgrounds Freistatt, Missouri.

Transcription

1 Lawrence County Youth Fair June 1 st, 2 nd & 3 rd, 2012 Freistatt, Missouri June 1 st, 2 nd & 3 rd, 2012 Freistatt Lion s Club/ Lawrence County Fairgrounds Freistatt, Missouri

2 Lawrence County Youth Fair June 1 st, 2 nd & 3 rd, 2012 Freistatt, Missouri Friday, June 1 st 6:00 pm: Dog Show Ernte Fest Band Stand Area 6:30 pm: Dairy Cattle Show Main Arena Meat Goat Show Dairy Goat Show Rabbit Show Saturday, June 2 nd 9:00 am: Beef Cattle Show Main Arena 10:00 am: Swine Show Sheep Show 11:00 am: Ham Show 1:30 pm: Market Broiler Show 6:00 pm: Appreciation Supper Lions Club Building 7:00 pm: Market Livestock Premium Sale Main Arena Sunday, June 3 rd 1:00 pm: Horse Show Mt. Vernon Saddle Club Arena All LIVESTOCK MUST BE IN PLACE 1 HOUR BEFORE SHOW TIME. 2

3 Lawrence County Youth Fair June 1 st, 2 nd & 3 rd, 2012 Freistatt, Missouri Lawrence County 4-H Achievement Day Lions Club Building Friday, June 1 st 3:00 5:00 pm: Achievement Day Exhibit Judging 3:00 6:30 pm: Member Judging Personal Appearance Saturday, June 2 nd 2:30 pm: Demonstrations Fashion Review 3:30 pm: Prepared Public Speaking Share the Fun 4:00 pm: Awards EXHIBITS WILL BE RELEASED IMMEDIATELY FOLLOWING THE APPRECIATION SUPPER. 3

4 Lawrence County Youth Fair June 1 st, 2 nd & 3 rd, 2012 Freistatt, Missouri General Rules & Regulations Eligibility 1. Exhibitors MUST be a member of a FFA Chapter or a 4-H Club and reside in the state of Missouri. 2. Exhibitors must be a resident of Lawrence County or a member of a Lawrence County FFA Chapter or 4-H Club to be eligible to sell in the premium sale. They can not sell in more than one county fair premium sale during the same year H Clover Kids may ONLY exhibit in the Rabbit, Market Broiler and Dog shows. No other species areas will be allowed to be shown by Clover Kids. They will be judged as a group and receive participation ribbons. No entry fee will be charged and therefore they will not receive premium money. 4. There is a limit of two entries per class, per exhibitor. With additional limits of ten sheep, goats or swine and five beef or dairy cattle per exhibitor. 5. Any exhibitor competing for a showmanship award must participate in at least one other category in that same show. The rule of rotation will apply, unless the exhibitor is moving from the Junior to the Senior division. Typically, the divisions are; Junior yrs, Senior - Ages 14 and older. Exhibitor Responsibilities 6. Any late entries will be charged double the original entry fee. 7. The Show Committee (comprised of the show superintendents and representatives of the fair board) will have full control of placing and stalling of all livestock. No bedding or feed will be placed until stalls are assigned by the Show Committee representative. 8. No exhibit shall be removed until the Show Committee chair decides. 9. Pens must be kept clean at all times and refuse/waste piled in the designated area. Exhibitors must provide their own bedding and feed. 10. Care and Precautions should be taken to prevent accidents or injuries to employees, exhibitors, fair volunteers / patrons and animals. 11. All animals to be exhibited must be the bona-fide property of the exhibitors. 4

5 12. All exhibitors MUST follow the guidelines specified by the Missouri State Veterinarian for each species exhibited or brought onto fair property. 13. All livestock exhibitors: Sheep, Swine, Dairy Cattle, Beef Cattle, Horses, Poultry and Goats must be released by the show superintendent before leaving the show area if you wish to have your premium checks released to you. 14. Exhibitors are responsible for pen and fairground cleanup. Judging Format & Premiums 15. The awarding of premiums will be confined to the categories specified on the entry form. 16. The Danish System of judging will be utilized in all classes and ribbons will be awarded using the following colors if available: Champion royal purple, Reserve Champion pink, First blue, Second red, Third white. Entries must be a blue ribbon winner to qualify for consideration for Champion and Reserve Champion. Protests or Appeals 17. Any disputes not covered in any areas specifically address in any department, species category or specified written rule will be settled by the Show Committee. 18. The decision of the judges in each category will be final with no appeal considered except in cases of protest. 19. All protests must be made in writing and accompanied with a $50 deposit. This deposit will be forfeit in the event that the protest is not sustained. Said protest must be filed with the fair board secretary within 5 hours after the award is signed. Award will be considered to have been made when entry book is finalized and signed. 20. No complaint or appeal will be considered which claims the judges to be incompetent or that they have overlooked an entry or exhibit. 21. The right of the exhibitor to appeal from the decision of the judges to the Show Committee may be only when it is charged that the award has been in violation of the rules governing the exhibit or when it is charged that the decision of the judges had been influenced or interfered with by another. 5

6 Lawrence County Youth Fair Premium Sale Rules Eligibility 1. Exhibitors MUST be a member of a FFA Chapter or a 4-H Club and reside in the state of Missouri. 2. Exhibitors must be a resident of Lawrence County or a member of a Lawrence County FFA Chapter or 4-H Club to be eligible to sell in the premium sale. They can not sell in more than one county fair premium sale during the same year. 3. Exhibitor MUST be present to sell in the premium sale. 4. Only one animal, pen or ham may sell per exhibitor. This is a premium sale. Ownership of animals or items does not change hands as a result of the sale. 5. Only market animals and hams are eligible for the sale: Steers, Market Hogs, Market Lambs, Market Goat, Pen of 3 Market Broilers, Pen of 3 Market Rabbits and Cured Hams. 6. Each Exhibitor that is participating in the premium sale is required to help with at least one of the following activities; Buyer Appreciation Supper, Sale and Supper Setup or Cleanup. 7. Each exhibitor that participates in the premium sale is required to provide 3 pre-sale contacts of potential buyers by May 18, 2012 in order to be eligible for the sale. 8. Each exhibitor that participates in the premium sale is required to assist the Lawrence County Youth Fair in fund-raising by selling two raffle tickets prior to the sale in order to be eligible for the sale. 9. A commission of 5% will be collected on all exhibit sales at the premium sale to provide funding for the Lawrence County Youth Fair Scholarship. 10. Premium Sale checks will not be issued until thank you notes have been written to buyers and those paying add-ons and turned into the Premium Sale Committee. Details will be provided to participants at the Premium Sale. 11. Buyer Contacts and Entries must be mailed to Jay Shepherd, Agriculture Instructor Miller High School Agriculture Department 110 West 6 th Street Miller, MO (417) ext. 1 6

7 2012 Lawrence County Youth Fair Scholarship Application Applications MUST be postmarked before May 1 st and are available from your FFA Advisor, 4-H Leader or online at Eligibility - To be eligible for the scholarship an applicant must: 1. Be a high school senior 2. Be an active 4-H or FFA member 3. Have participated in the Lawrence County Youth Fair as an exhibitor of 4-H or FFA. 4. Plan to enroll in an accredited college or university or technical school. 5. They must be associated with a 4-H or FFA within Lawrence County. Applications must be postmarked by May 1 st and mailed to Karla Grimm, LCYF Scholarship Committee Chair Lawrence 1210 Aurora, MO The applicants will be interviewed on May 7 th at the University of Missouri Extension Office in Mt. Vernon at 6:00 p.m. 7

8 2012 Lawrence County Youth Fair Scholarship Application Guidelines 1. This scholarship will be worth $ The applicant must have shown at the Lawrence County Youth Fair under an FFA or 4-H chapter in Lawrence County. 3. Individuals must be a high school senior at the time of application. Individuals must also be an active 4-H or FFA member at the time that the scholarship will be awarded. Active Membership is based on the national constitution guidelines for FFA and State guidelines for 4-H 4. Students must plan to enroll in an accredited community college, college or university, or technical school. Type of major will not be a factor. 5. Applicants must submit their ACT score and grade point along with their class rank. 6. Please submit two letters of recommendation with the application. 7. The winner of this scholarship must verify a 2.5 grade point average at the end of the first semester attended; then the school in which the applicant attends will receive the scholarship in care of the applicant. 8. Applications must be postmarked by May 1 st and mailed to Karla Grimm, LCYF Scholarship Committee Chair Lawrence 1210 Aurora, MO The applicants will be interviewed on May 7 th at the University of Missouri Extension Office in Mt. Vernon at 6:00 p.m. 10. Alternates will be given an opportunity for the scholarship if winner does not meet the standards of the scholarship. 8

9 Lawrence County Youth Fair Royalty Pageant Rules Queen Princess Lil Princess Ages Ages Ages Applications must be submitted by May 1 st, 2012 and are available online at 2. Applications may be picked up and dropped off at Norma s Inline Fashions in Aurora, University of Missouri Extension Center in Mt. Vernon, or to Janella Spencer: (417) The Pageant is scheduled for 3 pm, May 13 th, 2012 at Norma s Inline Fashions in Aurora, Missouri. 4. Contestants must have been a resident of Lawrence County for at least one year prior to the fair. 5. The winner of the Queen title is entitled to represent Lawrence County at the 2012 Missouri State Fair at Sedalia in August. 6. Contestants must be unmarried and have no children. 7. The Queen will relinquish her crown if she enters into a marriage contract or if her conduct and/or behavior are deemed to be improper for a representative of the Lawrence County Youth Fair. In which case her title will be taken over by the first runner up. 8. Duties: The Queen, Princess and Lil Princess must be available during the 2012 Lawrence County Youth Fair to assist the Fair Board and represent the Fair at various functions throughout the year. 9

10 Lawrence County Youth Fair Royalty Pageant Application Entry Fee for the Pageant is $25 for ALL age divisions. Name: Age Age Division (Circle): Queen Princess Lil Princess Address: City: Zip: Home Phone: Cell: Year in School: Parent / Guardian Name: School Attending: Hobbies / Interests: What is your Talent? Judging Categories: 1. Evening Gown 3. Poise & Confidence 2. Impromptu Question and Answer 4. Talent Note: Talent is optional for Princess and Lil Princess. ALL Queen Candidates MUST participate in the talent portion as it is tabulated as a part of the total score. Talent may include public speaking, singing, instrumental solo, appropriate dance routine, painting, baton, photography, etc. 10

11 Prepared Public Speaking Superintendent: Jason Haymes 3:30 pm, Saturday, June 2 nd Freistatt Lions Club Building Contact Jason Haymes at Mt. Vernon High School at (417) Rules & Regulations: 1. Open to all 4-H Club and FFA Members 2. Less than 8 minutes in length 3. Topic: Any Agricultural Topic 4. Winning speech will be eligible to represent Lawrence County at the Missouri Association of Fairs and Festivals competition in January in Columbia. Cured Ham Superintendent: Lyle Whitaker Rules & Regulations: 1. Hams should be entered in the Ernte Fest Building on the fairgrounds 2. All entries must have been hand trimmed and cured by the exhibitor within the state of Missouri. 3. Hams and bacons are not required to be federally inspected to compete. 4. Hams must be whole, cured country style and may not be cut or sliced. 5. Ham weights must be a minimum of 12 pounds with no upper limit. 6. To maximize the child's learning, members showing in youth classes are encouraged to do their own project work. The parent and child should decide how much the member is able to do on their own, but having someone else totally do the work for the member is inappropriate. 11

12 Agricultural Mechanics Superintendent: Jason Haymes Rules & Regulations: 1. All Agricultural Mechanics entries must have been constructed by FFA members either as part of their agricultural mechanics instruction in agricultural education or as part of their Supervised Agricultural Experience (SAE) program. 2. No Agricultural Education instructors or students will be allowed to confer with the officials during the judging process. 3. An item can only be exhibited once. However it does not have to have been constructed in the same year it is exhibited. 4. Articles must be painted or properly treated. All items must be clean and in presentable condition at show time, even if they have been used. 5. Each exhibitor is limited to a total of two entries of the same kind or type of project. 6. Points assigned to projects are based upon the amount of difficulty of work involved, difficulty and cost of moving and the cost of materials. Points assigned to entries are based upon the guidelines of the Missouri State Fair. 7. The Superintendent may adjust points up or down within a range of 50% when a project is unusual in size or difficulty and appears necessary in order to keep the points value in balance. 8. Projects built to be used as one unit should be entered as one entry and not entered separately. For example, trailer ramps built as part of a single trailer project should not be entered separate from the trailer they belong to. 9. The Agricultural Mechanics Superintendent and Fair Board Officials will make the final ruling if questions arise. 10. Exhibits will be released at 6:00 pm, Saturday, June 2 nd. Premiums will not be paid for exhibits leaving the fairgrounds before the release time. Exhibits remaining on the fairgrounds property after the release time will be unattended and are not the responsibility of the Lawrence County Fair Board. 12

13 Dogs Superintendent: Betty Highfil Class No. Class Name Description / Eligibility 1. Beginner A Obedience Dog & 4-H members in 1 st year of training. 2. Beginner B Obedience New dog with experienced 4-H member or new 4-H member with a trained dog. 3. Pre-Novice Obedience Dog to do some obedience off-leash 4. Novice Obedience Do to show most obedience off-leash 5. Cloverbud Obedience Clover Kids Only 6. Showmanship Ages Showmanship Ages Showmanship Ages 14 & older. 9. Novice Rally Rally is a combination of Obedience & Agility All Ages. Notes: Entry Fee: $1.00 per dog. 6:00 pm Friday, June 1 st, 2012 Current Rabies Certificate needed for all dogs. Classes: Dogs may enter in only one obedience class and one showmanship class. 13

14 Dairy Cattle Superintendent: Deanne Dighero Class No. Class Name Birth/Age Range 100 Bucket/Bottle Calf Class Exhibition Only 101 Spring Calf After Winter Calf to Fall Calf to Summer Yearling to Spring Yearling to Winter Yearling to Fall Yearling to Junior Champion 109 Dry Cow 3 years of age or over 110 Junior 2 Year Old to Senior 2 Year Old to Year Old to Year Old to Aged Cow Born before Senior Champion 116 Grand Champion 117 Junior Showmanship 13 Years & Younger 118 Senior Showmanship 14 Years & Older Notes: Dairy Feeder Calf: Class will compete at the Beef Cattle Show and will be entered under the Beef Cattle Category under class 317. Please refer to the Beef Cattle Section for age/weight requirements. 14

15 Boer Goats Superintendent: Steven Prewitt Class No. Class Name Birth/Age Range 219 Doe Kids 0 to Under 3 Months 220 Doe Kids 3 to Under 6 Months 221 Doe 6 to Under 9 Months 222 Doe 9 to Under 12 Months 223 Junior Champion 224 Reserve Junior Champion 225 Doe 12 to Under 18 Months 226 Doe 18 to Under 24 Months 227 Doe 24 to Under 36 Months 228 Aged Doe 36 Months & Over 229 Senior Champion Doe 230 Reserve Champion Doe 231 Grand Champion Doe 232 Reserve Grand Champion Doe 233 Kid 0 to Under 3 Months 234 Kid 3 to Under 6 Months 235 Kid 6 to Under 9 Months 236 Kid 9 to Under 12 Months 237 Junior Champion 238 Reserve Junior Champion 239 Buck 12 to Under 18 Months 240 Buck 18 to Under 24 Months 241 Buck 24 to Under 36 Months 242 Aged Buck 36 Months & Over 243 Champion Buck 244 Reserve Champion Buck 245 Wether Class 60 Lbs & Under 246 Wether Class 61 Lbs & Over 247 Showmanship 13 Years & Younger 248 Showmanship 14 Years & Older 15

16 Dairy Goats Superintendent: Steven Prewitt Class No. Class Name Birth/Age Range 201 Doe 2 to 4 Months 202 Doe 4 to 8 Months 203 Doe 8 Months, Less than 1 year. 204 Doe (Not in Milk) Over 1 Yr. & Under 2 Yrs. 205 Junior Champion Doe 206 Doe (In Milk) Over 1 Yr. & Under 2 Yrs. 207 Doe (In Milk) Over 2 Yr. & Under 3 Yrs. 208 Doe (In Milk) Over 3 Yr. & Under 4 Yrs. 209 Doe (In Milk) 5 Years and Over 210 Senior Champion 211 Reserve Champion Doe 212 Grand Champion Doe 213 Buck 2 to 4 Months 214 Buck 4 to 8 Months 215 Buck 12 to 18 Months 216 Buck 18 to 24 Months 217 Champion Buck 218 Reserve Champion Buck Notes: 16

17 Rabbits Superintendent: Devon Fisher Class No. Class Name Class No. Class Name Class 6: 110 English Lop 100 Large Crossbreed 111 French Lop 101 Americans 112 Flemmish Giant 102 American Chinchillas 113 Giant Angora 103 Beveran 114 Hotot 104 Californian 115 Palimino 105 Chinchilla 116 Satins 106 Cinnamons 117 Silver Fox 107 Checkard Giants 118 New Zealand Red 108 Crème D argenet 119 New Zealand Black 109 Champagne D argenet 120 New Zealand White Class 4: 121 English Angora 135 Netherland Dwarf 122 French Angora 136 American Fuzzy Lop 123 Satin Angora 137 Mini Lop 124 Standard Chinchilla 138 Holland Lop 125 Silver Martin 139 Dutch 126 Mini Satins 140 English Spot 127 Lionheads 141 Havana 128 Brittania Petite 142 Himilayan 129 American Sable 143 Polish 130 Florida White 144 Silver 131 Harlequin 145 Tan 132 Lilac 146 Triantha 133 Rhinelander 147 Jersey Wooley 135 Dwarf Hotot 148 Small Crossbreed Market 3 Rabbits, Any Breed. 5 7 Yrs Cloverbud Exhibition Less than 5 lbs. Each Yr Intermediate Showmanship 8 10 Yrs Junior Showmanship 14 & Up Senior Showmanship 17

18 Beef Cattle Superintendent: Tammy Wallace Class No. Class Name Birth/Age Range 300 Bucket/Bottle Calf Class Exhibition Only 301 Junior Calf to Winter Calf to Fall Calf to Summer Yearling to Spring Yearling to Winter Yearling to Fall Yearling to Champion Heifer 309 Cow / Calf Class 310 Junior Bull Calf to Senior Bull Calf to Summer Yearling to Junior Yearling to Champion Bull 315 Market Steer 850 lbs & Over 315 Feeder Calf 849 lbs & Under 317 Dairy Feeder Calf 849 lbs & Under 318 Showmanship 8 10 Years Old 319 Showmanship Years Old 320 Showmanship 14 Years Old & Older Notes: There will be a Supreme Heifer Steer Class: 850 lbs & Over. Steers will be weighed and divided into the two classes with an approximate equal number in each class. All breeds will show together. The Show Committee reserves the right to make more or fewer classes as they see fit. 18

19 Swine Superintendent: Lyle Whitaker Class No. Class Name Birth/Age Range 401 Gilt to Gilt January Gilt February Gilt March 2012 or Later 405 Champion Gilt 406 Boar to Boar January Boar February Boar March 2012 or Later 410 Champion Boar 411 Market Hog (Any Breed or Cross) or Later 412 Junior Showmanship 13 Years or Younger 413 Senior Showmanship 14 Years or Older Notes: The Show Committee reserves the right to make more or fewer classes as they see fit. 19

20 Sheep Superintendent: Lyle Whitaker Class No. Class Name Birth/Age Range 501 Ram 1 Year Old, Under 2 yr 502 Fall Ram Lamb to Spring Ram After Champion Ram 505 Ewe 1 Year Old, Under 2 yr 506 Pair, Yearling Ewes 507 Fall Ewe Lamb to Spring Ewe Lamb After Pair, Ewe Lambs 510 Champion Ewe 511 Market Lamb (Wethers or Ewes) After Junior Showmanship 13 Years & Younger 513 Senior Showmanship 14 Years & Older Notes: Market Lambs: Ewes showing in breeding classes are not eligible to show in the Market Lamb Class. The Show Committee reserves the right to make more or fewer classes as they see fit. 20

21 Market Broilers Superintendent: Jay Shepherd Class No. Class Name Birth/Age Range 900 Market Broilers, Pen of 3 Approximately 6 Weeks (age will vary upon chick availability) Notes: 1. FFA and 4-H members wishing to reserve birds for a pen of broilers should contact their FFA Advisor or 4-H Leaders by March 30 th. Those Leaders and Advisors should contact the show superintendent no later than April 1 st in order to ensure adequate numbers of chicks by the pickup date. 2. All exhibitors MUST pickup their chicks at Mt. Vernon High School Agriculture Building at 3:00 pm, April 24 th, These will be the ONLY birds allowed to participate in the broiler show. 3. Only one pen of birds allowed per exhibitor. Entry forms for their pen must be turned in at the time of chick pickup to ensure adequate number of cages on show day. 4. Exhibitors will receive 15 birds and a packet of management information and practices at the time of pickup. Practices covered include such management items as temperature, feeding, watering, medication, etc. It is HIGHLY suggested that the contestant do research and preparation BEFORE the day they pickup chicks. 5. Exhibitors will feed and manage their birds for a period of 6 weeks. As the show date approaches, they will then select their best three birds to comprise a pen. These three birds must have a combined weight of 12 lbs for the pen to be eligible for the premium sale. 6. No birds will be allowed to be rearranged after they are placed in the cages at the fair. 7. Premiums will be awarded on the Danish System. (Blue, Red, White) 8. All Pens meeting the minimum weight will qualify for the Premium Sale. Pens will be sold at the Lawrence County Youth Fair Premium Auction on Saturday, June 2, 2012 at 7:00 pm. 21

22 Horses Superintendent: Betty Highfil Class No. Class Name 22 Birth/Age Range 1. Showmanship at Halter Ages Showmanship at Halter Ages Showmanship at Halter Ages 14 and Older 4. Western Horsemanship, Walk-Trot 5. Western Horsemanship Ages Western Horsemanship Ages Western Horsemanship Ages 14 and Older 8. Western Pleasure, Walk-Trot 9. Western Pleasure Ages Western Pleasure Ages Western Pleasure Ages 14 and Older 12. English Equitation, Walk-Trot 13. English Equitation Ages 8 and Older 14. English Pleasure, Walk-Trot 15. English Pleasure Ages 8 and Older 16. Pole Bending, Walk-Trot 17. Pole Bending Ages Pole Bending Ages Pole Bending Ages 14 and Older 20. Barrels, Walk-Trot 21. Barrels Ages Barrels Ages Barrels Ages 14 and Older 24. Flag Race, Walk-Trot 25. Flag Race Ages Flag Race Ages Flag Race Ages 14 and Older Notes: Entry Fees: $2 per class on the day of the show until 12:30 pm. No pre-entries will be accepted. Entries close when class is called. Western attire is required in all Western Classes. This includes; boots, long sleeved shirts, dress pants or jeans, western hat or helmet. English attire is required in all English Classes. Helmets are required in all Gymkana (game) Classes. Children that enter in the Walk-Trot Classes may NOT lope or canter. The child may not have had canter and lope experience and will not be allowed to do so. This is a novice rider class

23 2012 Lawrence County Youth Fair Entry Form Part 1 Exhibitor Information: Name: Age (as of Jan 1 st, 2012): Address: Primary Phone: City: Zip: County: 4-H Club or FFA Chapter: There is a limit of 10 Sheep, Goats or Swine. 5 Beef or Dairy and 1 Ham or Market Pen of Rabbits or Broilers per exhibitor. Class No. Category of Item or Breed/Category of Animal Animal Birthdate *Market Class? 1. Yes No 2. Yes No 3. Yes No 4. Yes No 5. Yes No 6. Yes No 7. Yes No 8. Yes No 9. Yes No 10. Yes No * = Fill Out Entry Form Part 2!! Prepared Public Speaking : 3:30 pm, June 2 nd, Entries Must be Postmarked or Delivered by 4:00 pm, May 18, Entry Fees Double after Deadline. PLEASE BE SURE TO READ RULES FOR CHANGES! Entry Fees: Mail Entries to: $2 per head - Beef and Dairy Cattle $1 per hd/item - Boer Goats, Dairy Goats, Swine, Rabbits, Market Pen of Rabbits, Market Pen of Broilers and Ham. $2 per class - Horses Jay Shepherd, Agriculture Instructor, Miller High School Agriculture Department 110 West 6 th Street, Miller, MO

24 2012 Lawrence County Youth Fair Entry Form Part 2 Premium Sale Market Class & Ham Buyer Information Each Participant in the Premium Sale MUST provide 3 Buyer Contacts and Sell 2 Raffle Tickets to Participate in the Sale. This page MUST be turned in with ALL Market Class & Ham Entries by May 18, 2012!!! Exhibitor Name: Age (as of Jan 1 st, 2012): I Agree to Help with: SETUP SUPPER Cleanup Name: Address: City, State, Zip Phone: Signature: Name: Address: City, State, Zip Phone: Signature: Name: Address: City, State, Zip Phone: Signature: Buyer Contacts 24