Please send Application along with a self-addressed stamped envelope to:

                    Charlene Schmidt   -   P.O. Box 136,  Barbeau, MI 49710
                               (906) 647-1273        or   (906) 440-0044

_____________________________________________________________________________

Name ___________________________________________ Phone # _____________________

Address______________________________________________________________________

Type & Size of unit_________________________________   # of people at site ___________

Electric & Water _______________    Electric only ____________   Primitive ____________

Camp area or number preferred
_____________________________________________________________________________

                              Camping Fee                                          =  $______________

                             1 extra parking pass @ $10.00               =    ______________

                             Total amount enclosed                             =   ______________

Make checks payable to: Chippewa County Fair