Albany Agricultural Society Inc.
The Harvey Beef Gate 2 Plate Challenge - Entry Form
(page 1 of 2)
Places in the competition are limited. Entries will be accepted on a strictly first come first served
basis.
Please make writing must be clear and readable and ensure all information is supplied.
Contact Name:
PIC:
Business Name:
Trading
Name:
(used on any trophy/award)
(The business name stated above will be used on any trophies/awards unless you indicate otherwise)
Contact phone:
Email:
Postal Address:
Tick this box if you are unable to be contacted via email.
By signing this form you:
i.
acknowledge that you have read, understood and agree to the Harvey Beef Gate 2 Plate Challenge
rules and regulations
ii.
certify that the information contained in this entry is true and correct to the best of your knowledge
iii.
certify that each animal entered by you or by your child/children/ward is your property absolutely or is
under your absolute control and you have permission to enter the animal.
iv.
hold the Albany Agricultural Society, Willyung Farms feedlot, the Harvey Beef Gate 2 Plate Challenge
Committee and associated employees and volunteers exempt from any liability in the event of any
loss from any cause whatsoever, whether it be implied or express form.
v.
agree that the Harvey Beef Gate 2 Plate Challenge Committee have access to the MSA grading
information on your carcasses for the purpose of allocating points.
PRIVACY ACT STATEMENT
The information provided by you in this Application is collected and used by the Albany Agricultural Society Incorporated to organize and conduct
competitions and or exhibitions. We may publish details such as your Name, Photograph and Exhibit details in any Albany Agricultural Society
publication or media communication. Such information may also be made available to, and published by the media. We will not disclose your
personal information without your consent for any other purpose unless required or authorized by law. You may request access to your personal
information and, if necessary, request that our records of that information be corrected by writing to the Secretary at Albany Agricultural Society
Incorporated, Post Office Box 392, Albany WA 6331 or by Email: [email protected]
I hereby certify the above particulars are correct and I agree to conform to and accept the rules and regulations governing the Harvey Beef Gate 2
Plate Challenge as described in the Harvey Beef Gate 2 Plate Challenge Rules and Regulations and I hereby hold the Society free from any liability
in respect of any mistakes or errors which may be made in connection with these entries.
Signed:
Print Name:
If signing on behalf of a company, please
state role held
Dinner and awards night: Please reserve me ____ (insert number. Max 2 seats/business) seats at the dinner and
awards night. The cost of the dinner will be deducted from the value of the carcasses paid. Dinner and awards night
will take place in May 2016 at Southern End Restaurant and Function Centre, Denmark.
Please tick this box if you do not wish your animal performance feedback to be identifiable to all exhibitors.
The Harvey Beef Gate 2 Plate Challenge - Entry Form
(page 2 of 2)
If, at the time of entries closing, there are spaces left in the competition there may be an opportunity to enter more
than one team per business. If you would be interested in entering another team please tick this box.
You will be contacted after the entry closing date if there are any spaces available.
Please note:
NO entries accepted without payment. NO refunds given under any circumstances.
• Entry fees cover all costs associated with grain finishing cattle in a normal commercial situation including
feedlot costs, transport, management tags and induction medications.
• Entries close 5pm Monday 23rd November 2015.
• Entry fee: $1400 plus GST per team.
• Please make cheques payable to Albany Agricultural Society Inc.
• Payment can be made by direct deposit to Albany Agricultural Society Inc.
BSB: 086-518 Acc: 50-830-0477. Please use business name as reference. Entries will not be accepted
until funds have cleared. Please send proof of payment with entry form.
• Post entries to The Harvey Beef Gate 2 Plate Challenge, 667 Parkerbrook Road, Albany, 6330 or email
to [email protected]
• No faxed entries will be accepted.
• No entries will be accepted without payment.
• No entries will be accepted unless the entry form has been signed.
• NO refunds will be given under any circumstances.
• Places in the competition are limited. Entries will be accepted on a strictly first come first served basis.
• No entries will be accepted unless the entry form has been signed.
• For all enquiries Email: [email protected]