Holiday of Lights Parade Application

San Juan Bautista Holiday of Lights Application
Entry Fee: $25

* Indicates required field

Contact Name *

First

Last

Contact Phone Number *

Mailing Address *

City *

State *

Zip Code *

Email *

Name of Organization/Family *

Name of Entry *

Description of Entry/Group (history/mission) *

Choose One *

Check (Payable to Rotary San Juan Bautista, P.O. Box 823, SJB 95045 Master Card VISA

Name as it appears on card *

Credit Card Number *

Expiration Date *

CVV # (3 digit # on back of card) *

Submit