APPEARANCE | Miss Cosmo USA

REQUEST AN APPEARANCE

Fill out the form below and someone will contact you back shortly. Miss Cosmo USA reserves the right to apply appearance fees at their own discretion.

NAME OF EVENT

NAME OF TITLEHOLDER

TITLEHOLDER IS A TEEN OR MISS:

Indicate whether the requested titleholder is a Teen or Miss. Apply's to State or National titleholders.

DATE OF APPEARANCE

Month

Day

Year

START TIME OF APPEARANCE

Time

HoursMinutes

END TIME OF APPEARANCE

Time

HoursMinutes

REQUESTER'S FIRST NAME

REQUESTER'S LAST NAME

REQUESTER'S ORGANIZATION

REQUESTER'S PHONE

REQUESTER'S EMAIL

ORGANIZATION WEBSITE (optional)

PURPOSE OF APPEARANCE

WARDROBE REQUIERMENTS OR SUGGESTION

OTHER PERTINENT INFORMATION

LOCATION NAME OF APPEARANCE

ADDRESS OF APPERANCE

Country/Region

Address

Address - line 2

City

Zip / Postal code

Miss Cosmo USA are prohibited to make public appearances with any other pageant system titleholders not affiliated with Miss Cosmo unless given written permission by Miss Cosmo USA.

Agree

Signature

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