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              OPEN CLASS INDOOR EXHIBIT ENTRY
              THE MONTGOMERY COUNTY AGRICULTURAL FAIR                                        Office Use Only
              16 CHESTNUT STREET, GAITHERSBURG, MD 20877
                                                                                             Received: _______________
              Name: _______________________________________________ Exhibitor #: ____________________
                                                                                             Tally: ___________________
              Address:   ___________________________________________________________________________
                                                                                             Letter: __________________
              City: _____________________________________ State: _____________  Zipcode:  _______________
                                                                                             Comp.:__________________
              Farm Name: _______________________________________ Phone:  ___________________________
                                                                                             Passes: __________________
               E-mail: _____________________________________________________________________________

              I have read, understand and agree to abide by all the rules and regulations published in the Montgom-  Card: ___________________
              ery County Agricultural Fair Premium Catalog. I also agree that I will not hold the Montgomery County
              Agricultural Fair liable for any accidents or injury, which may occur while participating in the Fair.  Supt: ___________________
              I have read the rules and expectations for participation in the MCAC Fair.
              Exhibitor’s Signature: _____________________________________________ Date: __________________

              Parent/Guardian Signature: ________________________________________ Date:__________________

              Age: _________  Check here if Senior Citizen      Check here if you are a new exhibitor of if your address has changed
              All premium checks will be mailed following the close of the Fair. All exhibits not claimed during specified pick up days and times
              after the close of the Fair will be come property of the Fair for removal. Items can be picked up where they were dropped off.

              This form is to be used for Farm and Garden, Flowers, and Honey.
                                                   One form per exhibitor


              Dept. #     Div. #    Class #                Description of Exhibit               Award        Premium














































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