CENTRAL PLAINS RODEO ASSOCIATION

ROYALTY PAGEANT

SUGGESTED DONATIONS:

_______ $25               Business Card Ad  (1/6^th Page)

_______$50                1 / 2  Page Ad

_______$75                Full Page Ad  

_______Check #______      or      ____________ Cash

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(contestant please cut and  keep this part)

Name ______________________________________________

Address ____________________________________________

Contact & Phone _____________________________________

(Write in amount)

____Check #______:  ____ Cash;  __________________Product/Gift