Miss US International

Thank you for your interest in booking Miss U.S. International. You must fill out all of the areas so that we may assess your request and forward it to the appropriate person. All requests are subject to the approval of the Director of Business Development, we do not approve the booking of our titleholder's personal appearances and shall not be under any obligation to furnish the services of the Titleholder until we approve a Titleholder appearance request.
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CONTACT INFORMATION
Name*
Company
Title
Address*	Include Street Address, City, State, Postal Code & Country
Telephone*
Cell Phone
Email*

EVENT INFORMATION
Name of Event
Dates of Event
Titleholder Duties
Description of Event:*

NON PROFIT STATUS
Is your Organization a Not for Profit?	Yes No
Will the proceeds from this event benefit a charity?	Yes No

NOTES OR COMMENTS
Notes or comments	Please let us know any special requests or requirements.

By clicking "I Agree - Submit my Request" below, I am attaching
my electronic signature to and agreeing to the AGREEMENT above.
I understand that if I do not agree to the agreement, I should not continue.

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