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Allen Consulting, INC
89 Middletown Rd.
Holmdel, NJ 07733

Phone: 732-946-2711
Fax: 732-946-8032


OFFICIAL CONTESTANT APPLICATION FORM
21st ANNUAL NJ STATE CHILI & SALSA COOK-OFF
 Saturday, May 15, 2010 ~ Toms River, NJ



Contestant Name: *
ICS Membership #:
(If not an ICS member, log onto http://chilicookoff.com to apply and to submit membership fee)
Home Address :
City:
State:
Zip:
Home Phone :
Cell Phone :
Email : *
Team Name :
(any use of commercial business name requires prior approval of Cookoff Chairperson and/or ICS)
Will you be sponsored by anyone?  Yes   No
If yes, fully disclose who and all details:
I will participate in the ICS Red Chili competition:  Yes   No (Fee $30) *
I will participate in the ICS Chili Verde competition:  Yes   No (Fee $15) *
I will participate in the ICS Salsa competition:  Yes   No (Fee $20) *
I will participate in the People’s Choice Red Chili:  Yes   No (Fee $30; waived if competing in ICS Red)
I will participate in the People’s Choice Salsa:  Yes   No (Fee $20; waived if competing in ICS Salsa)
  * Must be an ICS member or apply for membership
TOTAL FOR May 15, 2010 Chili Cookoff $
   The above information is correct to the best of my knowledge. I have read the International Chili Society official rules and regulations and I hereby agree to abide by such rules and regulations.
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