Advertiser __________________________________ Date __________________
Address ____________________________________ Phone _________________
City _____________________________________ State _____ Zip __________
_________________________________ Retail value ___________
Paid by check # _______________ Authorized by: ____________________________
Total amount paid $ __________________
Notice to Sponsor: Categories and places are assigned as they are received at rodeo headquarters.
Please print and mail form to the address at top of form. THANK YOU FOR YOUR SUPPORT!