Jeep Registration

Name of Entry *

Contact Person *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How Many Jeeps Are You Entering into Parade? *

1 Jeep
2 Jeep
3 Jeep
4 Jeep

$40.00 per Jeep

Total Amount

$ 0.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Terms & Conditions

Credit card payments: Your credit card will be charged at the time of purchase.
Please review the Official Parade Packet of 2020 Mardi Gras! Galveston Jeep Parade.

Please Check *

I agree to the Indemnity Form and it's terms. Also, I am stating that the above information is correct to the best of my knowledge.

Name