General Admin Ticket Form

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2019 SHORE SURF & TURF The Shore’s Premier Tailgating Event

General Admission Registration Form Location: Wachapreague Seaside Park, Wachapreague, VA Date: Friday, September 13th Event Time: 4:00 till 8:00 p.m. (Food served: 5 p.m.- 7 p.m.) Band: The Finns – 5 p.m. til 8 p.m. Please complete application to secure your General Admission Tickets. Name of Business: _______________________________________________ Contact Name(s): ________________________________________________ ________________________________________________ Phone Number(s): _______________________________________________ Email: _________________________________________________________ General Admission Tickets: (includes admission, Chicken, Steamed Clams & French Fries, water and soda) *Prepayment required with registration ___ Chamber Members: $30 each if purchased on/before 8/16/19. $50 after 8/16/19. ___ Non-members: $50 on sale beginning 8/17/19. Please include payment with registration.

-Total Tickets Ordered _______ Bring application with payment to: ESVA Chamber of Commerce, 19056 Parkway, Melfa, VA or Mail application with payment to: ESVA Chamber, P.O. Box 460, Melfa, VA 23410 ***Pay by Check, Cash or with Credit Card (3% surcharge applies)***


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