Date of Application

Organization Name
Name of Event
Date of Event
Location of Event

Type of Event
Western Pleasure/Show
Barrel Racing
Trail Ride
Team Roping
Calf Roping
Team Penning
Reining
Cutting
Rodeo
Clinic
Banquet Awards
Other

Is this an annual event?	-Select One-YesNo
Number of Years the Event has Run
Number of Participants Expected
Number of spectators expected?
Is a printed program produced?	-Select One-YesNo

Please identify any mailing lists that are available - the more you can provide, the more gift certificates will be sent in return

Description of List	Majority Riding Preference	Number of Names	Date List was Last Updated	List Format (Excel/Paper)
	Western ShowBarrel RacingRopingTrailCuttingCalf RopingTeam Penning Cutting Reining
	Western ShowBarrel RacingRopingTrailCuttingCalf RopingTeam Penning Cutting Reining
	Western ShowBarrel RacingRopingTrailCuttingCalf RopingTeam Penning Cutting Reining
	Western ShowBarrel RacingRopingTrailCuttingCalf RopingTeam Penning Cutting Reining

Any Additional Information:


Paper mailing lists should be sent to:

Mary Morin, Corporate Communications Coordinator
Smith Brothers
525 Great Road
Littleton, MA 01460

Contact Person
Telephone
Email Address
Mailing Address
City
State
Zip Code

For Internal Use Only:

Application accepted
List received
Gift certificates sent
E-list sent