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Miss Illinois Online Appearance Request Form
 

A visit by Miss Illinois could make ALL the difference at your Event!

Miss Illinois is available for:
School assemblies, emceeing opportunities, conventions, trade shows, grand openings,
TV and radio commercials, public service announcements, volunteer efforts, fund raising programs, business organizations, civic meetings, town festivals, parades, and motivational engagements.

Fill out the Appearance Form below to reserve Miss Illinois for your Special Event today!

 

* Appearance Date:                   * Arrival Time:                             

* Start Time:         * End Time:        * Departure Time:

* Event Description:

* Event Location:

Directions to Event Location:

Will Miss Illinois be a speaker at your Event?

If so what will be the Topic and Length? (if none enter none in the text box)

Will Miss Illinois perform during the Event? (all related equipment, tape/cd, sound, etc., must be provided)

* Estimated audience:    Range in Ages: to

Event Dress: (formal or informal)

Event Setting: (indoors, outside, gymnasium, etc.)

Event Sponsor:

Contact Person

* Name:

* Address:

* Phone:        Fax:        

* Email:

Fees and Amenities

* Will a meal be provided?       * Will parking be provided?

Transportation fee:          Donation: (if non profit organization)

Appearance fee: (if for profit organization)  

Appearance fee: (if for non profit organization)

If you wish to include any further information please do so in the text box below:

 

* Denotes required field