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  Let the Races Begin!!!

 

 Entry Form: ….. Central Oregon’s Blue Bucket Stampede   …… include with bird entry

Name    ___________________________                                        Date___________
Address___________________________
City       __________State_______Zip__________
Phone   (____)_____-_________ Cell  (____)_____-________                              
E-mail   ____________________                                          

 
Band No# __________Letter__________  color_______
Band No# __________Letter__________  color_______
Band No# __________Letter__________  color_______
Band No# __________Letter__________  color_______
Band No# __________Letter__________  color_______
Band No# __________Letter__________  color_______    

                                                                  
Total Enclosed -----------------$______________

MAKE CHECKS PAYABLE to: Paul D. Rueter                               Home  (541) 475-7479
   and Ship Birds to …   8961 NE Old Highway 97                      Cell    (541) 419-0590                                      Madras, OR 97741     
                                                                                                e-mail…….jrueter@bendnet.com                

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