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2. Chef*
3. Restaurant*
5. Chef/Restaurant Email*
6. Chef/Restaurant Phone*
8. Chowder/Non-Chowder Name:*
10. Contact Name

    If other than Chef

11. Contact Email

    If other than Chef

    
    

12. Contact Phone

    If other than Chef

14. Chef Photo
15. Chef Bio
17. Gift Certificate to Raffle?
    -- Select One --YesNo
18. Gift Certificate Amount
20. Supplies Needed

    1. Warming Device
    2. 16 gal of Chowder/Non-Chowder
    3. 10x10 Canopy/Tent
    4. Table/Chairs
    5. Rent Table ($8)
    6. Rent Table & 2 Chairs ($10)

    Supplies Provided

    • 3.5 oz tasting cups
    • Spoons
    • Napkins
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field