Please Make Checks Payable to:
Jacquie Fernandez, P.O. Box 36462, Las Vegas, NV 89133
Paypal: lvl@model-horses.com
Name ________________________________________________________________
Address ______________________________________________________________
City, State, Zip _________________________________________________________
Phone ___________________________ e-mail
______________________________
*Entry fee includes a full table and lunch.* Proxy showers excluded.*
| Two Days Halter/Performance - $65 | |
| Three Days Halter/Performance - $75 | |
| Two Days Performance - $50 | |
| One Day Halter/Performance - $40 | |
| One Day - Friday - China ONLY - $20 | |
| SR Resin - Qty ____ X $55 (+$5 if shipping is needed) | |
| Swap Meet Space (Saturday 7-11pm) $25 | |
| Sponsorship (List specifics in special comments) | |
| Class - # of classes _____ X $1 | |
| Section - # of sections _____ X $5 | |
| Divisions - # of divisions _____ X $10 | |
| Proxy Showing - $3 per model (Limit 10) / Unlimited - $30 | |
| Proxy Shower ________________________________ | |
| Total |
Special Comments (Please request seating placement here):
________________________________________________________________________
________________________________________________________________________
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.
X____________________________________________________ Date__________________