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Mardi Gras on Main Registration Form
Do you have a business on Main Street and surround areas? Want to participate in the Mardi Gras on Main Festival 2025? Sign up Now!
16
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1
Contact Name
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First Name
Last Name
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2
Business/Organization Name
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3
Contact Number
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4
E-mail
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example@example.com
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5
Business/Organization Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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American Samoa
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Cote d'Ivoire
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Japan
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North Korea
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Kosovo
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Laos
Latvia
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Liberia
Libya
Liechtenstein
Lithuania
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
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Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Type of Business/Organization
*
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Select Your Business/Organization Category
Please Select
Bar/Lounge
Cafe
Restaurant
Retail Store
Civic/Government Organization
Law Firm
Greek/PHC Organization
Car Club
Others, please specify below.
Please Select
Please Select
Bar/Lounge
Cafe
Restaurant
Retail Store
Civic/Government Organization
Law Firm
Greek/PHC Organization
Car Club
Others, please specify below.
Business
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7
Others
*
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Enter Business/Organization Type
Category
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8
Join Mardi Gras in Memphis Events
*
This field is required.
Choose the event(s) your business/organization would like to participate in.
Feb. 21st - Volunteer for Community Giveback Day
Feb. 21st - Participate in Mardi GLOW Bar Crawl (Downtown Businesses/ Bars/Clubs/Lounge/etc)
Feb. 22nd - Participate/Ride/Walk in Mardi Gras on Main Street Parade 1130am
Feb. 22nd - Host an Activation at the Main Street Block Party 2pm (Main Street Businesses/Organizations)
Feb. 23rd - Host Mardi Gras Brunch Takeover (Downtown Restaurants)
Feb. 23rd - Host a Mardi Gras Masquerade Party/Ball (Downtown Bars/Restaurants/Lounges, etc)
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9
Number of Parade Participants
*
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How Many People Will Represent Your Business or Organization in the Mardi Gras in Memphis Parade?
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10
Parade Type
Choose How Your Business/Organization Will Participate in the Parade: (select one or more) *Vehicles over 2500lbs can start the Parade Procession but are not allowed on Main St Mall/cobblestone pavement*
Walk/March
Parade Float/Trailer
Car/Truck/Party Bus/Motor Vehicle (One Only)
Car/Truck/Party Bus/Motor Vehicle (Multiple)
Non-Motorized Vehicles (bicycle/party bike/etc)
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11
Float/Trailer Description/Size
Please provide a brief description and the approx length and width of Float/Trailer. *Vehicles over 2500lbs not allowed on Main St Mall/cobblestone pavement, but can start the Parade Procession.*
Describe Your Parade Float/Trailer
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12
Will Your Business/Organization Give Out Candy/Beads?
*
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What's a Mardi Gras Parade without Sweet Treats & Beads!? Please let us know if you can contribute to the fun & give out candy, favors, beads etc for Parade Watchers.
YES
NO
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13
How Will You Give Back?
Select One or More
Volunteer to Feed/Serve at a local kitchen
Collect & Donate Items for Care Packages for the Unhoused Community (toiletries, personal hygiene items, socks, hats, scarves, blankets etc.
Other
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14
Would You Like to Donate to Mardi Gras in Memphis?
*
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Proceeds benefit St. Jude Children's Research Hospital and Shelby County Schools
YES
NO
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15
Make A Donation
*
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Select your contribution amount or enter a value below.
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25.00
USD
50.00
USD
100.00
USD
250.00
USD
Description
USD
+ OR enter a custom value
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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16
Signature
*
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Please sign on behalf of your business/organization.
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