STAR OF THE NORTH – One Loft Race Entry Form<\/p>\n
\nShip birds to:
\nRich or Joyce Bemboom
\n13144 St. Hwy 23
\nMilaca, MN. 56353- 2718<\/p>\n
Make checks payable to: STAR OF THE NORTH 1 LOFT<\/p>\n
Questions? Call Rich or Joyce Bemboom at: 320 -294-5429<\/p>\n
Breeder’s Name: ( Please Print) _____________________________________________________________<\/p>\n
Loft Name (optional): _____________________________________________________________<\/p>\n
Address: _____________________________________________________________<\/p>\n
City: __________________________ State: ___________ Zip: ___________<\/p>\n
Phone Number: __________________________Club Name______________<\/p>\n
Entry fees: $75 per bird or 3 Birds for $200.00, Back up Bird $25.00 NO PERCH FEE!<\/p>\n
# Of Birds ______ Band #s & Color<\/p>\n
1)_______________________________________________<\/p>\n
2)_______________________________________________<\/p>\n
3)_______________________________________________<\/p>\n
Back up Bird<\/p>\n
________________________________________________<\/p>\n
Date: _______________ Check # ___________ or Cash ___________<\/p>\n
Total Amount Paid $____________<\/p>\n
If sending more then 3 Birds please fill out an additional Entry Form<\/p>\n
~ Loft Manager: Rich \/ Joyce Bemboom
\n~ Updates and additional information can be found at our website ~ MMRPC.COM<\/p>\n","protected":false},"excerpt":{"rendered":"
2014 23RD ANNUAL STAR OF THE NORTH ONE LOFT CHALLENGE STAR OF THE NORTH – One Loft Race Entry Form<\/p>\n