Name:
Address:
Home Phone:
Moblie:
Email:
Sex: Male Female
Date of Birth: Day Month Year
Industry Type:
2010 NZYF Member: Yes No
Membership Number:
NZYF Club:
District Final you wish to enter:
Shirt Size:
Emergency Contact Name:
Emergency Contact Number:


I would like to apply for a Lincoln University Scholarship for Excellence Yes
Validation code:





Entry to the Contest is free for NZYF Members, if you are not a current member for the 2010 year please post us your $70.00 membership fee. Or Join online via our Online Webshop

Post Entries to:

That National Bank Young Farmer Contest
PO Box 50
Methven

Entries should be recieved by the Contest Office no later than ten days prior to your District Final.