You MUST Pre-Register, but it's simple  *  Just Send In This Form  *  There's No Entry Fee!

TEAM (OR BUSINESS) NAME__________________________________________
CONTACT'S NAME __________________________________
    PHONE: (        )_____-_________
    ADDRESS:__________________________________________
    No. OF TEAM MEMBERS_______
    Names of team members:________________________________
    _____________________________________________________
    _____________________________________________________
   How did you hear about Pumpkin Chuckin'?________________
   ______________________________________________________
                                 Mail To: PumpkinFest, 13 W. Main St., Madison, OH 44057,
                                 or fax to (440)428-0786.