UTPB Women's Basketball 2012-13 Heartland Conference Champions - 40 Years UTPB - The University of Texas of the Permian Basin

School and Local Fair Information Form

Name of School/Local Fair: ______________________________________________

Fair Director's Name:___________________________________________________

Mailing Address: _______________________________________________________

City, State, Zip ________________________________________________________

Director’s Home Phone: ( )_______________________________________________

Director’s Business Phone: ( )____________________________________________

Director’s FAX Number: ( )_______________________________________________

Director’s Email Address: _______________________________________________

City and county where school is located and/or fair will be held:

____________________________________________________________________

Dates(s) of Fair: ______________________________________________________