FARM SHOW DRAW Please complete the form below.NOTE: All areas marked with an * is required to be filled out in order to submit. Name * Phone * (###) ### #### Email * Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Occupation * Please Select Farmer Retired Farmer Not a Farmer Other Occupation Interested In Please check which tours you may be interested in. Australia/New Zealand South America Costa Rica Panama Land Tour Kenya/Tanzania Morocco India Canada Cruises Other Tour Email Communications * By Checking Yes, you agree to & allow to receive email marketing from Select Holidays. Yes No Terms & Conditions Draw made November 15, 2019. 1 draw entry per person. Travel Credit applied to client's account in the amount of $2,500 or the Panama Land Tour amount. Non-transferable/No cash value/ Date * MM DD YYYY Thank You!Draw will be made November 15, 2019
