Entry Form

Florida Registration #CH14747

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION

MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE.

REGISTRATION DOES NOT IMPLY

ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

The Exchange Club of Indian River Foundation, Inc. is a charitable 501(c)3 tax exempt organization, Federal ID #23-7315808.