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Miss Universe Pageant

Miss Universe Organization

REQUEST MISS UNIVERSE APPEARANCE

ALL FIELDS WITH * MUST BE FILLED OUT OR YOUR REQUEST WILL NOT BE PROCESSED.

* Name:

* Title:

* Organization:

* Address 1:

* Address 2:

* City:

* State:

* Country:

* Zip Code:

* Phone Number:

* Fax Number:

* Email:

* Mobile Number:

* Name of Event:

* Dates Requesting: to

* Description of Event:

* Titleholder Duties:

* Is your organization a not for profit?:

YES NO

* Will the proceeds from this even benefit a charity?:

YES NO

If Yes, please provide the name of the charity:

Address of the charity:

Type of charity:

All requests are subject to the approval of The Miss Universe Organization. The Miss Universe Organization does not confirm the booking of any Titleholder personal appearances - and shall not be under any obligation to furnish the services of a Titleholder - until it approves a Titleholder personal appearance request and The Miss Universe Organization’s Standard Titleholder Personal Appearance Agreement is executed by all parties.