Submission #108
Submission Info
| ID | 108 |
|---|---|
| Status | Unconfirmed |
| Date Submitted | 2023-02-13 08:43 |
| Date Modified | 0000-00-00 00:00:00 |
| Form Name | Participant Form |
| User | 0 |
User Submitted Data
| Organizaton Name | Gary and Mary West PACE |
|---|---|
| Contact Person | Mary Jurgensen |
| Address | 1706 Descanso Ave |
| City | San Marcos |
| State | Ca |
| Zip Code | 92078 |
| Enter your email | mjurgensen@westpace.org |
| Phone Number | 760-518-0860 |
| Choose your event participation | Booth Sponsor |
| Parade Entry Type | None |
| Entry Length In Feet | 10 |
| # People in Entry | 2 |
| Parade Script | |
| Initials | MJ |
| Printed Name | Mary Jurgensen |
| Date Signed | 2/13/2023 |