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| Your Name * |
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| Your Email Address * |
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| Company * |
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| Phone # * |
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| # of Attendees * |
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| Entering a Chili Team? * |
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| Team Name |
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| What contests are you participating in? |
Best Tasting Chili
Best Tasting Salsa
Best Tasting Dessert
Best Tasting Tamales
All Chili teams will compete in the booth contest.
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| Sponsorship |
Event Sponsor - $200
Bill Swap Station - $225
Drink Sponsor - $250
Judges Table - $350
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| My company is willing to donate the following: (drinks, paper products, hot dogs & buns, chips, cookies) |
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| I would like to be a volunteer for the event. |
Yes
No
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| Payment Option |
Bill Me
Credit Card
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| Name on Card |
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| Type of Card |
Visa
Mastercard
AMEX
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| Credit Card Number |
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| EXP Date |
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| Last 3 or 4 digits from the BACK of the Credit Card. |
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| Credit Card Billing Address |
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