2014-2015 IBC Show Entry Form

Name:

IBC Form 3-E : 8/2/14

Email:

Phone:

(contact information is important in case the Show Chair must call during the show)

Address:
(Street Address, City, State, ZIP or Code, and Country) (This will be used for return shipping and awards unless otherwise specified.)

Showing in Regular, New Breeder, or Purchased?

IBC Member? Y/N

(If IBC member, enter member number (from IBC card) if possible)

Show: Wild Bettas Australia: 1st March 2015

*Purchased fish also need to indicate on form

Return by:

(chapter holding show and date of show)

(local entrant, courier (please see show info for more information))

Special Instructions: (such as insured return, what to do if fish don't sell, special packing requests, etc.)

I give permission for my fish to be re-classed if deemed appropriate by the judges

Yes

STATEMENT: By filling out and sending in this form, I agree to abide by all show rules of the IBC, and agree that the IBC, the Host Club, and
the show site assume no responsibility for condition of entries, although they will do everything possible to protect the fish.

Entrant Fills OUT THIS PART:

Fish #
EX-1
EX-2a
EX-2b
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Purch
Auction Minimum
Class
ased?
Y/N
Bid

N
N
N

E1
F2
F2

Y
Y
Y

Host to entrant
(not necessarily on return form)

Contin. Final
Award Sold
#
Class #
$ 7.00 Copper Lace: A pattern of metallic coverage that covers the outsides of scales, giving a lace-like a
$ 12.00 MAP: Channoides Male (sold as pair)
pair
MAP: Channoides Female (sold as pair)
Label/Remarks:

If you send more than 20 fish use the second tab on the excel sheet. If you need help in determining the correct class for your entry, write "HELP" in the class
column. Enter single fish on one line each. Enter pairs on two lines, changing the entry numbers and marking them as entry A and B (i.e. 4a, 4b). Please
specify in the remarks which of the pairs are male/female. Wilds should list their species in the label/remarks. If the wild entries are for the MAP program,
please note that in remarks - all MAP entries are to be auctioned off. Variations should be noted in label/remarks - if there is not enough room for a proper
variation label, write as much as you can in, and then also email it to the show chair. PLEASE number your fish bags with the number in the left column above.
(i.e. if you have five fish, please mark the bags as #s 1-5, in the order in which they were entered above).

MONEY ENCLOSED BY ENTRANT

For #
Single Entries:
For #
Pair Entries:

(By paypal to wild.bettas.australia@gmail.com )

MONEY RETURNED BY HOST

Auction Share (if any):
$
Excess Postage (if any): $

Return Postage:
TOTAL:

See Chapter Show Information for specific entry fees.

Refunded entry fees (if any):

$
TOTAL: $

(totals to be provided to entrant, not necessarily on this form)

IBC Form 3-E : 8/2/14

*Purchased fish also need to indicate on form

(local entrant, courier (please see show info for more information))

No

to abide by all show rules of the IBC, and agree that the IBC, the Host Club, and
, although they will do everything possible to protect the fish.

Host to entrant
(not necessarily on return form)

For

If you need help in determining the correct class for your entry, write "HELP" in the class
changing the entry numbers and marking them as entry A and B (i.e. 4a, 4b). Please
uld list their species in the label/remarks. If the wild entries are for the MAP program,
Variations should be noted in label/remarks - if there is not enough room for a proper
the show chair. PLEASE number your fish bags with the number in the left column above.
in which they were entered above).

MONEY RETURNED BY HOST

$
$

$
$

(totals to be provided to entrant, not necessarily on this form)

2014-2015 IBC Show Entry Form, page 2

Entrant:

IBC Form 3-E : 8/2/2014

Show Wild Bettas Australia, March 1st 2015

Host to entrant

Entrant Fills OUT THIS PART:

Fish Purcha
Auction Minimum
Class
sed?
Y/N
#
Bid

Label/Remarks:

(not necessarily on return form)

Cont.
#

Final
Class #

Award

Sold

21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Note: The number of entries in any International show in Regular classes is limited to 50 per entrant, not to exceed 60 total fish entered.
The number of entries in the annual IBC Convention show will be limited to 60 per entrant, not to exceed 70 fish total.
Individual Shows may have lower limits - please be sure and check with the chapter show rules to make sure of their specifications.

51
52
53
54
55
Please provide totals on the first page.

For