Entry Form - Needs of Dubois

“Dubois Winter Wonderland”
Christmas Light Competition
Entry Form
* HAVE ALL YOUR LIGHTS UP BY DECEMBER 15th! *
Entry forms also available on needsofdubois.org, duboiswyomingchamber.org,
or on the Needs of Dubois Facebook page
Please return this form & entry fee by December 6th to one of the following:

Donn’s Custom Leather

Pony Tracks

Dubois Chamber of Commerce

Or mail to: Needs of Dubois, PO Box 865, Dubois, WY 82513
ENTRANT NAME: _________________________________________________Entrant Email:___________________________
Entrant Address:__________________________________________________________________________________________
Entrant Phone: ___________________________________________________________________________________
_
Category with entry fee & prize (prize in each category valued at approximately $80; circle category star):
BUSINESS- $20 entry fee– Prize is a reusable holiday wreath
NEIGHBORHOOD (group of up to four contiguous households [next to or across the street from
each other])- $15 entry fee– Prize is a holiday decoration for each household.
CHURCH/ NON PROFIT ORGANIZATION- $10 entry fee– Prize is a gift certificate to local store(s)
INVIDUAL HOUSEHOLD- $5 entry fee– Prize is a gift certificate from the Nostalgia Bistro
Please make checks payable to Needs of Dubois
Fill out first line to indicate address of light display if entering as a business, organization or
individual; fill out all lines to indicate all addresses of light displays if entering as a neighborhood.
Address 1:
Address 2:
Address 3:
Address 4:
FOR FURTHER INFORMATION, CONTACT:
Needs of Dubois at 307-455-3173 or [email protected]
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