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2022 Ashland 4th of July Parade Participation Fee

Thanks for your order for participation in the 2022 Ashland 4th of July Parade!

	2022 Ashland Chamber 4th of July Parade Member Entry ($50.00) Parade Entry: Ashland Chamber Member	$0.00
	2022 Ashland Chamber 4th of July Parade Non-Member Entry ($100.00) Parade Entry: Ashland Chamber Non-Members	$0.00
	2022 Ashland Chamber 4th of July Parade Subsidy Entry ($25.00) Parade Entry: Subsidy (Non-Profit - Children/Equestrian/Bands only)	$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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Phone: (555) 555-5555 *	Email: *

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SHIPPING INFORMATION

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Thanks for your participation in the 2020 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!