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2019 Ashland 4th of July Participation Fee(s)

Thanks for your order for participation in the 2019 Ashland 4th of July!

2019 4th of July Commercial Booth ($200.00)
Commercial Booth

$0.00

Sub-Total: $0.00

Total: $0.00

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BILLING INFORMATION

Payment Type: MasterCard Visa
Credit Card Number: *	Exp. Month: *	Exp. Year: *	Sec Code:
Checks can be mailed to : Chad Cota Athletic Foundation 711 Medford Center #141 Medford, OR 97504 In Kind payments must be pre-approved by the CCAF board. Please fill out and print this form print and enclose a copy of this form with your check.

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State: *	Zip: *
Phone: (555) 555-5555 *	Email: *

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SHIPPING INFORMATION

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Thanks for your participation in the 2019 Ashland 4th of July!
We will process your order and mail you a confirmation packet with instructions, map and detailed event information once we draw closer to the event.

If you have any problems with your registration please email dana@ashlandchamber.com and she will help you.

See you on the 4th!

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