Registration form pottstown fourth of july parade

REGISTRATION FORM

POTTSTOWN FOURTH OF JULY PARADE

Sponsored and Organized by the Rotary Club of Pottstown

July 4, 2017

Please complete and return this registration form to the Rotary Club of Pottstown

By mail to P.O. Box 227, Pottstown, PA 19464 or email [e-mail]

All registration forms and payments must be made by June 23, 2017

Parade begins on High St at Adams St at 10:30 am

Units will form on High St between Madison (Pottstown Post Office) and

Bailey St. (Goodwill Fire Co.)

You will be assigned a staging area
Because there are expenses that need to be paid, there is a registration fee to participate.

Checks should be made out to “Pottstown Rotary Community Endowment Fund” (PRCEF)

Registration fees: $35 Non Profit organizations (excluding fire houses)

$60 business/commercial entities

$100 political entities

Individuals and families must register, but pay no fee.

Send payments to Pottstown Rotary, PO Box 227, Pottstown, PA 19464. Payments are tax deductable

Organization Name: ______________________________________

If nonprofit, please provide tax exemption #: ___________________

Primary Contact person for the group: __________________________________________

Mailing address _______________________________________________________

Phone: _______________________ Email: _______________________________

Number of Group participants: (100 max per group) – please check which one

Up to 50 50 to 100

Will there be a float/vehicle? (2 max) – please check which one

One float/vehicle Two floats/vehicles

Please note – There is NO candy distribution by groups/floats at this parade.

For questions or additional information, please contact the Rotary Club of Pottstown at [e-mail] or our website www.pottstownrotary.org