Buckeye State Button Society

List of Entries for Competition

Instructions: Enter the award number for each tray. Use the Tab key or mouse pointer to move around the form.
The Division, Classification, Size and Description will be automatically filled in.

Check the appropriate Acknowledgement boxes and fill in the Name, Address and Telephone fields (Cell and Email are optional.)
Then click the Print button.

Please fill out in numeric order.

I acknowledge by signing this application for entries that:
   My name and entrant number may be posted at the Show after judging.Yes   No
   My tray(s) may be photographed at the Show for publication.Yes   No
   Someone other than myself will be delivering/picking up my tray(s).Yes   No
      I authorize to pick up my tray(s).

Although it is the policy of the Buckeye State button Society to handle all entries with utmost care, i hereby agree
to hold the Society harmless in case of accident, loss or damage to the buttons I have entered in competition.

Name    Signature   _____________________________


Telephone      Cell      Email:   


Checked In by: ___________________________Checked Out by: _____________________
Checked Out Trays Received by:
Name: __________________________________Signature ___________________________