-Please Enter Your Imperial 2012 Registration Information Below- Date   First Name   Last Name   Street Number and Name   City   State   Zip   Home Phone No. Bus. Phone No. Cell/Mobile No. Email Address   Temple Name   Unit/Club Name Are You Attending The Imperial 2012 Session Yes No   Are You Attending The Imperial 2012 Session Parade Yes No   What Will Be Your Parade Involvement Non Parade Unit Parade Unit- On Foot Parade Unit- Clown Parade Unit- On Horseback Parade Unit- Motorized 4 Wheel Parade Unit- Motorized Full Size Parade Unit- Motorized Miniature Parade Unit- Motorized 2 or 3 Wheel Full Size Harley Hogs Parade Unit- Motorized 2 or 3 Wheel Small Size Scooter Parade Unit- Riding Fire Truck Parade Unit- Riding Wagon Parade Unit- Riding Flatbed Parade Unit- Riding Other Parade Unit- Bicycle or Tricycle Parade Unit- Roller Blade Parade Unit- Unicycle Parade Unit- Other   Are you Camping Yes No   Are You Staying In A Hotel Yes No

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