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August 16 to September 2 Aug 16 - Sep 2, 2024

CNE AMBASSADOR OF THE FAIRS PROGRAM

Agricultural Society Entry Form

Step 1 of 2

CNE AMBASSADOR OF THE FAIRS PROGRAM Agricultural Society Entry Form

Represented Applicant(Required)

First Name Last Name

Name of Agricultural Society

Secretary Name

First Last

Secretary phone number

Name of fair

Mailing address of fair

Street Address City Province Postal Code

Email address of fair

Phone

Representative details

All information below should be related to named representative

Mailing address of representative

Street Address Address Line 2 City Postal Code

Email address

Phone

Number of entries in your 2023 program

Date of Program

Name of Fair Grounds

Name of Society or Group sponsoring Program

Media Fact Sheet

Please complete this sheet with the names, email addresses and telephone numbers of your local media to assist us with competition publicity.

NEWSPAPER

Name

Phone

Email

TV STATION

Name

Phone

Email

RADIO

Name

Phone

Email

CABLE TV CO

Name

Phone

Email

MAYOR

Name

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country