KENTUCKY FARM BUREAU GOSPEL MUSIC SHOWCASE

THURSDAY, AUGUST 23, 2018

**Entries must be signed by your County Farm Bureau President or their designee.**

County Farm Bureau hereby certifies that _____________________________

is the official entry for competition in the Kentucky Farm Bureau Gospel Music Showcase on

Thursday, August 23, 2018.

Signed: __________________________________ ____________________________________

(County President or Designee) (County Farm Bureau)

Signed: __________________________________ ____________________________________

(Manager of Act or Contestant) (Email Address)

Address: _________________________

(Street) (City) (Zip Code)

Home Phone Number: ( ) _______________ Business or Cell Number: ( ) _______________

Individual/Group Website:

_________________________________________________________________

List all members and their phone numbers if applicable.

Name: Home Number: Business Number:

1. ( ) ( )

2. ( ) ( )

3. ( ) ( )

4. ( ) ( )

Accompanist:

5. ( ) ( )

6. ( ) ( )

7. ( ) ( )

8. ( ) ( )

Please check applicable items: Piano Guitar(s) Keyboard CD Other ________

ALL ENTRIES MUST BE POSTMARKED BY FRIDAY, JULY 20, 2018

Send to: Scott Christmas, Kentucky Farm Bureau, 9201 Bunsen Parkway, Louisville, KY 40220

Phone: (502) 495-5000 ext. 7221; Email: Scott.Christmas@kyfb.com