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SPRINGFIELD, MISSOURI FEBRUARY 9 & 10, 2013 REGISTRATION FORM OZARK EMPIRE FAIRGROUNDS 3001 N GRANT Name: Business Name: Best Phone #: Email Address: Mailing Address: City: State: Description of Merchandise:

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How to fill out February 9 & 10:

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February 9 and 10 refer to specific dates in the month of February.

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