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Imperial Session 2004 Parade Request Form Temple Name: ___________________________Temple #_________________ Location:_________________________________________________________ Potentate:________________________________________________________ Phone: _____________________ E-Mail: ______________________________ Recorder: ________________________________________________________ Phone: _____________________ E-Mail _______________________________ Parade Marshal: ___________________________________________________ Phone: _____________________ E-Mail _______________________________ Please list all Unit/Clubs and number of men/vehicles wishing to participate
Unit/Club #Men #VehiclesDivan: _____ ________ Bands: _____ ________ Chanters: _____ ________ Clowns: _____ ________ Color Guards: _____ ________ Director Staff: _____ ________ Dune Buggies: _____ ________ Drum & Bugle: _____ ________ Greeters: _____ ________ Keystone Kops: _____ ________ Legion of Honor:_____ ________ Mini Cars: _____ ________Motorcycles: _____ ________ Oriental Bands:_____ ________ Patrols: _____ ________ Pipe Bands: _____ ________ Provosts: _____ ________ Horse Patrols: _____ ________ 3-Wheeled: _____ ________ Floats: _____ ________ Other: (Explain)_____ ________ (explain)_______________________ Other. (Explain) _____ ________ (explain)_______________________ Other (Explain) _____ ________ (explain)_______________________ Total Men:_____ Vehicles ____________ An Insurance certificate must be provided in order to
participate My insurance company is___________________ Certificate #_____________ Will you need a loading dock for equipment? Name of Noble(s) who will be attending the Parade Marshal’s meeting on
Sunday, July 4 10:00 am at the Adam’s Mark Hotel.
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