Complete this form, print it and mail it with you payment to:

Entry Clerk
Shirley Peet
415 Shore Drive
Joppa, MD 21085
telephone: 410-679-1873, before 10 p.m. (eastern)
fax: 410-679-1874
e-mail: meloncali@comcast.net

Do NOT Email this form !

Click here for the entry form.