SWOP Chile Fiesta 2023

Registration / Registro

First Name / Nombre *

Last Name / Apellido *

Email (Primary) / Correo electrónico (primario) *

Phone (Primary) / Teléfono (Primario)

Translation / Necesito Traducción a español

Yes

Event Fee(s) *

Level I - (1 Raffle Ticket) - $ 5.00

Level II - (2 Raffle Tickets) - $ 8.00

Level III - (3 Raffle Tickets) - $ 12.00

Level IV - (4 Raffle Tickets) - $ 15.00

Level V - (5 Raffle Tickets) - $ 20.00

VIP Level - (Judge Status, T-shirt, 1 Raffle Ticket, and stickers) - $ 50.00

FREE - (No Tickets) - $ 0.00

Judge Status - (I would like to be a judge for the green Chile Stew Cook-off) - $ 5.00

Total

Credit Card

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Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

T-shirts

T-shirt Size

XXL

3XL

T-Shirt Color

Black

Heather Red