Irish Champion Dairy Cow (Heifer-In-Milk)

Question Title

* 1. Name of Owner

Question Title

* 2. Address

Address

Address 2

City/Town

ZIP/Postal Code

Question Title

* 3. Telephone Number

Question Title

* 4. Name of Heifer-In-Milk

Question Title

* 5. Ear Tag Number

Question Title

* 6. Bred by

Question Title

* 7. Sire

Question Title

* 8. Dam

Question Title

* 9. Date Of Birth

Date / Time

Date

Question Title

* 10. Signature of Owner/Agent

Question Title

* 11. Date

Date / Time

Date

Question Title

* 12. What actions have you taken to enhance the environmental and economic sustainability of your farm

Payment Options

Bank transfer:
Bank Account Name: Virginia Show
IBAN: IE92AIBK93253121658044
BIC: AIBKIE2D

Cheques / Postal orders should be posted to Virginia Show, Showgrounds, Virginia Co.Cavan

GDPR CONSENT FORM

In Line with GDPR, we require your consent to publish your personal data (name, address, herd name, company, role) and photographs for the purpose of prompting the competition.

Irish Champion Dairy Cow (Heifer-In-Milk)

Question Title

* 1. Name of Owner

Question Title

* 2. Address

Question Title

* 3. Telephone Number

Question Title

* 4. Name of Heifer-In-Milk

Question Title

* 5. Ear Tag Number

Question Title

* 6. Bred by

Question Title

* 7. Sire

Question Title

* 8. Dam

Question Title

* 9. Date Of Birth

Question Title

* 10. Signature of Owner/Agent

Question Title

* 11. Date

Question Title

* 12. What actions have you taken to enhance the environmental and economic sustainability of your farm

Question Title

* 13. Name

Question Title

* 14. Signature

Question Title

* 15. Please tick box