Chili Cook-Off Application
[ ] RED CHILI [ ] SALSA [ ] CHILE VERDE
Cookoff Name ____________________Date ________
Contestant Name ______________Soc Security # ____________
ICS Membership Number _________ [ ] Life [ ] Charter [ ]
Applied for Date of Cookoff ______________
Business Address _________________________
Home Address _____________________________
Business Phone (___) ________________________
Residence Phone (___) ______________________________
Fax (___) ____________________
Email ___________________________________
Team Name ___________________________________
(any use of commercial business names require prior approval of Cookoff Chairperson and/or ICS)
List in detail any planned activities _______________________________________________________________
Will you be sponsored by anyone? Yes ____ No ____
If yes, fully disclose who and all details ___________________________________________
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.
Signed ______________________ Date_________
Accepted By_________________________ Date___________
(Cookoff Chairperson)
MAIL TO: 414 W. Ocean Avenue, Lompoc, CA 93436. ENCLOSE a self-addressed, stamped envelope for confirmation of acceptance.