SAHPA SIRES CLASSIC
SPECIAL NOMINATION SHEET

(This form is only used if you are not presenting

the birds for auction - see Rule 5)

Flyer Number: _____________________

Flyer Name: ____________________________________________

Address: ___________________________________________

____________________________________________

Club: ____________________________________________

Ring Number

____________________________SA 10

____________________________SA 10

____________________________SA 10

____________________________SA 10

____________________________SA 10

____________________________SA 10

No. of Entries

____________ @ $50 each

____________

Please find enclosed a cheque to

SAHPA SRC for $

____________

Post to: Gavin Harris

488 Marion Road

Plympton Park SA 5038