Entrant Information

Entrant's Name

Brewery Name or Homebrew Club (optional)

Division

Phone Number

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Mailing Address

Were you entered in the Fair last year?

Has your address changed?

Entry Information

Brewer's Name (Entry #1)

Class / Category (Entry #1)

Beer Name (Entry #1)

Style Description (Entry #1)

Specific Allergens or other remarks (Entry #1)

Do you have another entry?

Exhibitor Signature

I certify that these entries are the product of the exhibitor and are eligible to be shown in accordance with the rules of the El Dorado County Fair & State of California. Please accept these entries subject to the Rules & Regulations published in the El Dorado County Fair Entry Guide.

I, the undersigned, agree to the terms above.

How many Entries do you have?

($10.00/ea.)

Total

$0.00

Payment Information

Name

Payment Method

Credit Card
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Credit Card

Visa
Mastercard
American Express
Discover

Address

Phone Number

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