Georgia National Fairgrounds, 401 Larry Walker Pkwy., Perry, GA, 31069

Name: ____________________ Address: __________________________________
City: ___________ State: ________ Zip: __________ Phone: __________________
Email address: _____________________
Class
 D.O.B
 Name of animal
 Registration #
 Right
Tattoo
 Left
Tattoo
 Owner
             
             
             
             
             
             
             
             
             
$15.00 per animal x ______ = ______
    $7.00 per pen x ______ = ______
Total amount due: $ _____________
All returned checks will carry a $25.00
fee.
Mail checks to
4M Boer Goats
643 Sam Rodgers Rd
Americus, GA 31719