Donation Form

THE BARRON COUNTY FAIR

101 Short Street

RICE LAKE, WISCONSIN

I accept the invitation to join "A Grand for the Grandstand Club".

Name_____________________________________________________________________

Address___________________________________________________________________

City______________________________State_____________Zip_____________________

Phone_____________________________ _____________________________________

Residence Business

To fund the construction of a new all-metal roofed grandstand to be completed in time for the 2002 Barron County Fair, and also to further promote quality entertainment at the Barron Co. Fair, I contribute $1000.00 or more for which I am entitled (during each annual fair during a 20 year period):

Two preferred seats in the Barron County Fair Grandstand for every performance during the fair

Free daily entrance into the Barron County Fair.

Here is my contribution of:...$1000.00 or $____________________________________________________

Please list my/our name(s) on the Donor Wall as shown below:

____________________________________________________________________________________

Please Print Clearly

Signature:___________________________________________Date:_____________________________

Make Checks payable to Barron County Fair Grandstand Club

In the event the stadium is not built for any reason your contribution will be returned to you. Your contribution is tax deductible.

Mail to :

Barron County Fair

101 Short Street

Rice Lake, WI 54868