Neighborhood Services Holiday Lights Contest Entry Form

Question Title

* 1. Entry Information

First and Last Name *

Business Name (if applicable)

Address *

Address 2

City *

State *

ZIP *

Email Address *

Phone Number *

Question Title

* 2. Is this entry for a residence or a business?

Residence

Business

Question Title

* 3. Acknowledgements

Yes, I have read the Contest Rules.

Yes, I acknowledge that the name and address entered on this entry form may be published on the Berthoud.org website and may be published in other announcements.