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Blue Jean Country Queen Entry form to be filled out by County/Regional Secretaries
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* Indicates required question
Your Name
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Your answer
Your email address
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Your answer
Information about representative
Name of Queen
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Your answer
County/region/country
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Your answer
Club
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Your answer
Age (please note contestants must be over 18)
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Your answer
Macra membership number
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Your answer
Queen's phone number
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Your answer
Queen's email address
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Your answer
To assist in promotion for the festival, please list the names, and contacts if available, of your local newspapers:
Your answer
I confirm that the representative named above is an affiliated member of Macra Na Feirme, and is representing my County/Region in the 2019 Blue Jean Country Queen Festival.
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Confirm
Required
I confirm that the representative named above has consented to be contacted by representatives of the Blue Jean Country Queen Festival via phone/email.
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Confirm
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