North Country Chili Cook-off

North Country Chili Cook-off

CHEF ENTRY FORM
Restaurant Name
Team Name
Team Captain Name

First Name Last Name
Team Chef Name (IF DIFFERENT FROM CAPTAIN)

First Name Last Name
Restaurant Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Team Captain Phone Number
Team Captain E-mail
Additional Information (IF ANY)
Should be Empty: