Submission #182
Submission Info
| ID | 182 |
|---|---|
| Status | Confirmed |
| Date Submitted | 2024-08-23 14:06 |
| Date Modified | 0000-00-00 00:00:00 |
| Form Name | Participant Form |
| User | 0 |
User Submitted Data
| Organizaton Name | Buggie Dugger Jr State Farm Insurance |
|---|---|
| Contact Person | Lindsay Groh |
| Address | 240 W Crest St Suite B |
| City | Escondido |
| State | CA |
| Zip Code | 92025 |
| Enter your email | lindsay.groh.vaemya@statefarm.com |
| Phone Number | 8132988945 |
| Choose your event participation | Parade Entry |
| Parade Entry Type | Walking Group |
| Entry Length In Feet | |
| # People in Entry | 2 |
| Parade Script | |
| Booth Type | None |
| Booth Location - Select One | Maple Street Plaza |
| Initials | LG |
| Printed Name | Lindsay Groh |
| Date Signed | 08/23/2024 |