MFTHBA

Regional Versatility Circuit Championship

Affiliate Show Application

Affiliate Name:_________________________________________________________

Address:_______________________________________________________________

State, City, Zip:__________________________________________________________

Name of Show:__________________________________________________________

Date of Show: __________________________________________________________

Location of Show:________________________________________________________

Judges:________________________________________________________________

Show Secretary:_________________________________________________________

Address:__________________________________________________________

Phone:____________________ Email:__________________________________

Show Chairperson:________________________________________________________

Address:__________________________________________________________

Phone:__________________________ Email:____________________________

Name of Circuit:_________________________________________________________

______Please Place our show with a Regional Circuit in our geographic area.

Circuit Manager:________________________________________________________

Address:_________________________________________________________

Phone:__________________________ Email:___________________________

Circuit Score Keeper:_____________________________________________________

Address:__________________________________________________________

Phone:___________________________ Email:___________________________