OFFICIAL CONTESTANT ENTRY

FORM

Cookoff Name:Rotary Chili Cookoff / Hillsborough County Fair           Nov. 8th 2009

Contestant Name ______________________________________________________

Address  _______________________ City _______________State ____ Zip ______

Contract Phone ___________________  2nd Contact Phone __________________

Email Address _______________________________ Fax # ____________________

Team Name ____________________________________________________________

Business Name _________________________________________________________

Sponsored by __________________________________________________________

The above information is correct to the best of my knowledge.  I have read the rules for this cook off as posted on the Rotary Club website and I hereby agree to abide by such rules and regulations.  I also agree to cook an additional five gallons of chili to be sold as tasting to the crowd to help support the fundraising activities of the Rotary Club of Bloomingdale/Fishhawk.

Signed ____________________________________________________date_________

Fees:

Open Teams - $35.00 if postmarked by Oct. 22, 2009

(refundable if cancellation is received by 10/22/09)

Youth Teams - $25.00 if postmarked by Oct. 22, 2009

(refundable if cancellation is received by 10/22/09)

After Oct. 22nd, entry fees are non refundable and will be:

Open Teams - $50.00

Youth Teams - $35.00

Please make checks payable to and mail to:

Rotary Club of Bloomingdale/Fishhawk

P. O. Box 6446

Brandon, Fl.    33508

for entry information please contact:

Open Teams - Sandi Meadows   Sandimead@msn.com   813-846-7085

Youth Teams - Amy Metz   amyjometz@gmail.com  -  813-643-7025

Rotary Club of Bloomingdale/Fishhawk