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Please complete form and submit by Dec. 1, 2014.

Pork Queen Participation Form

*Full Name:

*Name you prefer to go by (if different):


*City, State, ZIP   :


*E-mail Address:

*Birth Date:

*Parents' Names:

*County Represented:


*Year in School:

*If you are in college, please list college address, e-mail and cell number:

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Iowa Pork Congress Program
5.03 MB PDF