Blackhawk Carving Club
Rockford, Illinois 61109
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Blackhawk Woodcarving Club Show
July 16, 2016, Competition
Official Entry Form
Blackhawk Woodcarving Club, Rockford, IL 61126

Please Print

Name:____________________________ Phone:____________________

Address:________________________ City:______________ State:_____ Zip:________

Send registration and check payable to Blackhawk Woodcarvers

Competition Registrar
C\O Dennis Neubauer
1846 2nd Ave
Rockford, Il 61104

Table rental & 1 entry fee:  $15______

Additional entry fee               $5______

Entry fee only                          $5______

Partial year membership    $15______

                                              Total______

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Select your level by circling one:

Novice – Intermediate - Advance
                                                                                                   Official use only

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