Submission #204
Submission Info
| ID | 204 |
|---|---|
| Status | Unconfirmed |
| 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! |
| Initials | ER |
| Printed Name | Ed Roe |
| Date Signed | 10-04-2024 |