Purina will provide items your club’s fall and spring hunts. If you are interested in receiving these items, please complete this form and forward it as indicated. If you have questions, contact Carol Ford at (519)825-3250.

Mail or e-mail to: 

Carol Ford

1910 Mersea Rd 11 RR#3

Wheatley, Ontario N0P 2PO Canada

Note: All forms should be received at least 45 days prior to the event!

PLEASE TYPE or PRINT LEGIBLY:

Club/Event Name:_______________________________________________

Event Date: _______________________________

Please select:

A Hunt: ______ # Entries: _____ # Judges:_____ # on Hunt Committee ________

AA Hunt: ______ # Entries: _____ # Judges _____ # on Hunt Committee _________

Upland: ______ # Entries: _____ # Judges _____ # on Hunt Committee _________

Please indicate if this is a Preliminary Hunt: ____________________

Shipping address for promotional items (no P.O. Box):

Name:

Address:

City/State/Zip:

Phone #: