Dixie Southern Convention and Race

Hosted by

Middle Tennessee Racing Pigeon Club

ENTRY RESERVATION FORM

NAME_______________________________________________ PHONE # ________________________

ADDRESS_____________________________________________________________________________

CITY ______________________________________ STATE _____________ ZIP ____________________

E-MAIL__________________________________________ CELL # _______________________________

# OF ENTRIES ____________________ $50 Per bird. One free bird with 5 paid birds. $250.00

TOTAL ENCLOSED $_________________ CHECK # __________________

Make Check Payable to: MTN RPC

Send to: Stanley Oakes

73 Goosby Road, Morrison, TN 37357

Designate handlers for all paid entries. No more than two (2) of paid entries to any one handler.

Ship Birds to: Cleo Sanders

242 Tabernacle Road, Smithville TN 37166

615-597-5586

BIRD # CHOICE OF HANDLER

1. __________________________________ _____________________________________

2. __________________________________ _____________________________________

3. __________________________________ _____________________________________

4. __________________________________ _____________________________________

5. __________________________________ _____________________________________

6. __________________________________ _____________________________________

7. __________________________________ _____________________________________

8. __________________________________ _____________________________________

9. __________________________________ _____________________________________

10. __________________________________ _____________________________________

11. __________________________________ _____________________________________

12. __________________________________ _____________________________________

See attached for handler’s name, location, distances and address. Some handlers will only take a limited number of birds. Enter early, as some lofts may fill up.

Bird numbers are not necessary when you reserve your perches, just designate handlers