Start Date of Show: 
 Month      Day      Year    (four digits)
 
End Date of Show: 
 Month      Day      Year 
 
Name of Show: 
 
 
Type of Competition:  
 
 
USEF Recognized? If so give ID#  
 
  
  Location of Show:     
  Street Address  
 
  
City 
 
  
State 
 
  
Name of Show Manager:  
 
  
Phone Number:  
 
  
Street Address :  
 
  
City:  
 
  
State:  
 
  
Zip Code :  
 
  
Event/Show Manager Email :  
 
  
Event Website :  
 
 
  Address to Send the Award:      
  Award Handler Name       
Street Address  
 
 
City  
 
 
State  
 
 
Zip Code  
 
 
Award Handler Email Address: