Chili and Salsa Registration
Date: May 6th, 2017 • 1-5 pm • Everyone must set up by NOON
Event Address: Herzog Hall, 175 Fairgrounds Dr, Petaluma CA 94952
Call (707) 763-8920 or
Payments can be made by phone Mon-Fri 10:30-2:30 pm
Pay online with credit card:
Mail checks to: Cinnabar Theater, 3333 Petaluma Blvd N, Petaluma CA 94952
Your entry is not official and secured until form and fee are submitted.
Organization Name
(example: XYZ company or ABC service group)
Your answer
Team Name
( example: Crazy Chiliheads)
Your answer
Team Captain
Team Contact Person
Your answer
Payment Name
Person associated with payment (credit card or check)
Your answer
Team Captain Phone
Your answer
Team Captain Email
Your answer
Mailing Address
Your answer
Register as:
Location Requests:
We’ll try our best to accommodate your requests.
We will serve: (choose all that apply)
Sterno Discount (check if applicable)
Discount is for Chili cooks who will waive access to electricity and use only Sterno heating. Use the promo code STERNO to receive $10 off entry fees -- No discount for Salsa
I understand this is a not a guarantee to participation and I must arrange payment for entry fees to secure my spot:
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