Pickens Christmas Parade Payment

Name of Company/Organization*

Name of Representative*

First

Last

Address*

Street Address City State / Province / Region Postal / Zip Code

Email*

Phone*

Parade Fee:*

Bands/Veterans Entry - $0

Non-Profit Organizations Entry - $10

Performance Group - $25

Beauty Queen Entry - $30

Individual or Business/Commercial Entry - $40

Car Clubs/Truck Car Clubs - $40 for First 8 Cars; Add $5 per car over 8

Politician/Political Candidate - $45

How Many Cars Are In Your Entry?*

Enter Amount Due for Cars Over 8 - $5 per car (Ex. 10 cars x $ = $50*

USD

Total

Christmas Parade Entry Payment