Iron County Fair
             
Preregistration Form
Iron County Fairgrounds in Parowan, Utah
Monday September 2nd, 2019
Start Time: Noon


Participant's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
(Please make sure this is your mailing address)

 
Payment Information
Method of Payment:
Processing Fees: Credit cards: 2.5% ($1.50 min)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.49
Update name from Participant's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Participant's Information
Cardholder's Name:
Billing ZIP/Postal Code:
 
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