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Please complete form and submit by Oct. 29, 2012.

Pork Queen Participation Form


*Full Name:


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


*Address:


*City, State, ZIP   :


*Phone:


*E-mail Address:


*Birth Date:


*Parents' Names:


*County Represented:


*School:


*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
4.94 MB PDF