“Dubois Winter Wonderland” Christmas Light Competition Entry Form * HAVE ALL YOUR LIGHTS UP BY DECEMBER 15th! * Entry forms also available on needsofdubois.org, duboiswyomingchamber.org, or on the Needs of Dubois Facebook page Please return this form & entry fee by December 6th to one of the following:  Donn’s Custom Leather  Pony Tracks  Dubois Chamber of Commerce  Or mail to: Needs of Dubois, PO Box 865, Dubois, WY 82513 ENTRANT NAME: _________________________________________________Entrant Email:___________________________ Entrant Address:__________________________________________________________________________________________ Entrant Phone: ___________________________________________________________________________________ _ Category with entry fee & prize (prize in each category valued at approximately $80; circle category star): BUSINESS- $20 entry fee– Prize is a reusable holiday wreath NEIGHBORHOOD (group of up to four contiguous households [next to or across the street from each other])- $15 entry fee– Prize is a holiday decoration for each household. CHURCH/ NON PROFIT ORGANIZATION- $10 entry fee– Prize is a gift certificate to local store(s) INVIDUAL HOUSEHOLD- $5 entry fee– Prize is a gift certificate from the Nostalgia Bistro Please make checks payable to Needs of Dubois Fill out first line to indicate address of light display if entering as a business, organization or individual; fill out all lines to indicate all addresses of light displays if entering as a neighborhood. Address 1: Address 2: Address 3: Address 4: FOR FURTHER INFORMATION, CONTACT: Needs of Dubois at 307-455-3173 or [email protected]