I am interested in:  (please check all that apply)

_____ Donating/Sponsoring: to support the Sovereign State Celebration. Amount: _______

(Make Checks Payable to: Sovereign State Committee)

_____ Volunteering: to assist the Sovereign State Committee in other ways.

            _____ Help plan the Sovereign State Days. (6-10 meetings a year-they’re fun!)

_____ Help by setting up, supervising, or cleaning up events. (1 hour.)

_____ Help with the parade, supplying vehicles for the parade, or setting up signs,

traffic control, information distribution, etc. (1 hour.)

_____ T-shirt Sales: displaying and selling Sovereign State T-shirts/tanks on behalf of the

Sovereign State Committee in my place of business.

_____ Promotion/Advertising: distributing Sovereign State Brochures in my place of business.

_____ Parade: participating in the Sovereign State Parade.

                        _____ Please pre-register me and notify me of my line-up number.

_____ My entry will be a float.

                        _____ My entry will be distributing handouts/candy. (throwing no longer allowed)

                        _____ My entry will have loud vehicles.

                        _____ My entry will have music.

                        _____ My entry will be pausing to perform during the parade.

                        _____ My entry will have animals. (please list the type of animals)

Organization Name:
Contact Person:
Address:
Phone Number:
Email:
I understand that the Sovereign State Committee, the Village of Winneconne, the Winneconne Fire Department or any other organization sponsoring or co-sponsoring the parade is not responsible for theft, accidental loss, bodily injury or damage incurred prior to, during, or after the parade.
Date: ____________	Signature: __________________________________________________

Please return to:            Sovereign State Committee

                                    P. O. Box 422

Winneconne, WI  54986