Entry Form
Ocean Side Live
April 20, 2024
NAME:_________________________________________________________________
Address:____________________________________________________________________________________________________
City:________________________________________State:______________________ Zip: ______________
Telephone number with area code:____________________________________
E-mail address:____________________________________________________
Entry Fee:_____________________________
Proxy Entry:_______________ Proxy Entry Fee:_____________
Who Is Your Proxy Shower?___________________________________________________
Table Selection (give 3 choices):____________________________________
Donation to Raffle or Auction, item(s) donated:___________________________________________________________
Total Due: ____________________________________
(Please print this form and send along with payment)
Make checks & postal money orders payable to Jeff Gillette please.
Lynda Gillette / 166 Freeport Cay / Vero Beach, Florida 32966
April 20, 2024
NAME:_________________________________________________________________
Address:____________________________________________________________________________________________________
City:________________________________________State:______________________ Zip: ______________
Telephone number with area code:____________________________________
E-mail address:____________________________________________________
Entry Fee:_____________________________
Proxy Entry:_______________ Proxy Entry Fee:_____________
Who Is Your Proxy Shower?___________________________________________________
Table Selection (give 3 choices):____________________________________
Donation to Raffle or Auction, item(s) donated:___________________________________________________________
Total Due: ____________________________________
(Please print this form and send along with payment)
Make checks & postal money orders payable to Jeff Gillette please.
Lynda Gillette / 166 Freeport Cay / Vero Beach, Florida 32966