ENTRY FORM

2010 ST. PATRICK’S DAY PARADE

SATURDAY MARCH 13

JACKSONVILLE, ILLINOIS

UNIT NAME: ________________________________________________________

MAILING ADDRESS: _________________________________________________

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EMAIL ADDRESS: ____________________________________________________

CONTACT PERSON: ___________________________________________________

TELEPHONE NUMBER: ________________________________________________

ENTRY: (BAND, FLOAT, DECORATED VEHICLE, ETC.) ____________________

______________________________________________________________________

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*ENTRANT AGREES THAT WJIL/WJVO, KILLIAN’S RED. DON’S PLACE, THEIR OWNERS, EMPLOYEES, AND AGENTS WILL NOT BE HELD LIABLE FOR ANY INJURY, LOSS OR DAMAGE TO THE PARTICIPANT OR HIS PROPERTY RESULTING FROM THE PARTICIPANT IN THIS EVENT

SIGNATURE___________________________________________________________________

**CHECK IN TIME IS 10:00AM AT THE INTERSECTION OF EAST STATE AND CLAY STREET.

***ALL ENTRANTS MUST BE PRESENT AT DON’S PLACE (207 WEST MORGAN ST. IN JACKSONVILLE) AFTER THE PARADE TO COLLECT PRIZE MONEY.

COMPLETE AND RETURN TO:

louwjvo@mchsi.com or fax 217 245 1596, 

WJVO/WJIL

P. O. BOX 1055

JACKSONVILLE, IL 62651   

Attention: Lou Estabrook