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Personal Information
*E-Mail:Valid e-mail is required
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Phone
Club Affiliation
Volunteer Worker
Your Entries, Lunches, and Donation
Spaghetti Sauce Cook Off
Entry Fee
Cars Entered for 2012
First Show Entry
Each Additional Show Entry
Last Year`s Winner
No Fee, but not judged for this year`s awards
Lunch
Italian Sausage and Sides
Grilled Chicken and Sides
Vegetarian Lunch
Operation Homefront
Grand Total:
Your Pride and Joy
Entry # 1 Vehicle Type
Make
Make
Model
Year
Bocce Player Name
Add Second Entry
Your Second Vehicle ......Grazie
*Entry # 2 Vehicle Type
Make
Make
Model
Year
Bocce Player Name
Add Third Entry
Your Third Vehicle .....Momma Mia!
*Entry # 3 Vehicle Type
Make
Make
Model
Year
Bocce Player Name
Add Fourth Entry
Your Fourth Vehicle .... That`s AMORE!
*Entry # 4 Vehicle Type
Make
Make
Model
Year
Bocce Player Name
Add Fifth Entry
Your Fifth Vehicle ..... Mille Grazie
*Entry # 5 Vehicle Type
Make
Make
Model
Year
Bocce Player Name
Payment Choices and Legal Stuff
 
By checking the box below, you accept responsibility for your vehicles, yourself, and your guests. You will release the Arizona American Italian Club, and all other persons and organizations involved with Le Bellezze d` Italia from any and all liability.

*I agree
 
When you submit this form, you will be asked to review your information and select payment via paypal or personal check if any money is due. If you wish to use a check, make it payable to Le Bellezze d` Italia for the total amount due and send it to

Jay Fuller
2544 E Sahuaro Dr.
Phoenix, AZ 85028.

Your registration will be pending until your payment is credited.


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