Please provide the following contact information:
You must be an active ICS member. If you are not, to join go to www.chilicookoff.com and join on line.
Please select one or more categories from below.
Note: All entries paid by 4/20/07 there is a $10.00 discount for each category entered. Use our secured site by PayPal. All credit cards are accepted. Note: If you inadvertently send the full entry fees before this date the money will be donated to the charity. In other words "NO REFUNDS!" Upon arrival your fees go directly in to the charities account.
Red Chili $35.00Chili Verde $25.00 Salsa $15.00
Name Title Organization Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone FAX E-mail URL
ICS membership number
Your membership number
Team name
List in detail any planned activities
Will you be sponsored by anyone?
Yes No
If yes fully disclose who and all details
By submitting this form you agree to all rules and regulations put forth by the I.C.S. and agree to abide by them
Check here to agree
