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Submission #204

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Submission Info

ID 204
Status Confirmed
Date Submitted 2024-10-04 13:17
Date Modified 0000-00-00 00:00:00
Form Name Participant Form
User 0

User Submitted Data

Organizaton Name None
Contact Person Ed Roe
Address 2144 Sunset Drive
City Escondido
State CA
Zip Code 92025
Enter your email boomslang3@cox.net
Phone Number 760-685-4415
Choose your event participation Parade Entry
Parade Entry Type Booth Only
Entry Length In Feet 10
# People in Entry 2
Parade Script Ed's '69 Jeep Ambulance- same script as last time(s)- don't have it myself... thanks!
Booth Type None
Booth Location - Select One Along the Parade Route
Initials ER
Printed Name Ed Roe
Date Signed 10-04-2024
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