WCDC Contestants Application

World Cheese Dip Championship Contestant Application Saturday, October 20, 2012 on the grounds of the Clinton Presidential Center, Little Rock, Arkansas In order to reserve your space, please complete the agreement below.
Contestant Information
First name*
Last name*
Organization*
Address*
City
State
Zip*
Phone*
Email*
Team Name
Team Captain/Head Chef
Sign To Read
Contact Person
Type of Cheese Dip with Brief Description
Does your recipe contain meat?
If so, What type(s)?
Source of power/cooking
What Division are you entering?
Number of people assigned to work in booth?
Special Needs:

Donation Type	One Time Recurring
Donation frequency
Number occurrences
	Fees	$125.00 [ Entry Fee Professional ] $100.00 [ Entry Fee Amateur ] $75.00 [ Additional Booth ] $75.00 [ Additional Booth ]
Credit Card Number*
Expiration Date*	/
Card (CVV) Code*
Card type*
Card Holder Name*
Bank ABA Routing Number*
Bank Account Number*
Bank Account Type*
Bank Name*
Account Holder Name*
I accept the Rules and Categories

World Cheese Dip Championship Contestant Application