Pre-registration must be submitted no later than July 1st.
* Team Name
* Team Captain
Team Roster:
* (1)
* (2)
* (3)
* (4)
* (5)
Team Captain Contact Information:
* Mailing Address
Apt/Suite/Unit
* City
* State
* Zipcode
* Contact Phone
* Email
Entry Fee: Five (5) non-perishable food items per team member for a total of 25 food items delivered the day of the event or $25 paid by check.
Make checks payable to ICCI - 4th of July and send your check to:
ICCI - 4th of JulyAttn: Juan RodriguezP.O. Box 366Independence, Iowa 50644
* Verification Code
