Must accompany essay and title page in submission or entry will be disqualified. Name: Address: City: State: Zip Code: Telephone: Email Address: Date of Birth: Age: School: Grade: School Address: 2608 Shermans Valley Road, Elliottsburg, Pa 17024

Sponsored by The Bank of Landisburg

This application must accompany essay and title page in submission or entry will be disqualified.

Name:

City:

Telephone:

Email Address:

Date of Birth:

Age:

School:

School Address: 2608 Shermans Valley Road, Elliottsburg, Pa 17024

Telephone: 717-789-3931 ext 5015

Application must be received by midnight EST, February 22, 2016. Drop- off, mail or email to:

2016 Ag Day Essay Contest

The Bank of Landisburg

Attn: Patti L. McLaughlin

PO Box 179