Animal Safari 2010 Entry Form

DEADLINE FOR ENTRIES IS FRIDAY 28 MAY

Name:   _____________________________         Telephone:     ________________

Address:

_______________________________

_______________________________

_______________________________       

Post Code: ________________              Email:      __________________


Name of Display

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Minimum donation £3 (cash only):    £ _________

This form should be returned to Alsager Shoe Repairs or :

Lorraine Standring
Alsager Carnival Committee
19 Cresswellshawe Rd,
Alsager,
Stoke-on-Trent,
ST7 2NL