MAGICAL MOMENTS NATIONAL PAGEANT 2012
CONTESTANT'S NAME:__________________________________________________
ADDRESS:____________________________________________________________
PHONE:___________________________2ND PHONE:_________________________
AGE (ON PAGEANT DAY):_____BIRTHDATE:______________DIVISION:___________
EMAIL:______________________________________
SHIRT SIZE?:_________
REGISTRATION FEE: $ 45
(EVERYONE PAYS THIS FEE, NOT SUBJECT TO DISCOUNTS)
ALL IN SPECIAL:
THIS INCLUDES BEAUTY, CASUAL WEAR, SWIM WEAR, PARTYWEAR & 1 PHOTO
FEBRUARY 11th thru FEBRUARY 22nd (LAST DAY TO ENTER).............................$ 375
Keeping the price reduced!!!..............................................................................ONLY $325
EXTRA PHOTOGENICS ($10 EACH UP TO 4) _____X $10 = $
TALENT (CAN BE DBL CROWNED) CAN DO 2.......... $35 EACH X_______=$
OVERALL TALENT SUPREME $ 25
ADDITIONAL WEEKEND PASSES ($10 EACH) QUANTITY:____ = $______
MOTHER/DAUGHTER COMP. YES/NO $ 50
SUB-TOTAL: $_____
ANY DISCOUNTS: $_____
NEW TOTAL: $_____
DEPOSIT: - $ 100
BALANCE: $_____
CHECKS CAN BE MADE TO ME, KIMBERLY MOTT (CASH ONLY AT THE DOOR)
335 KNOX WAY, HOPATCONG, NJ 07843 973-398-4380
OR PAYPAL (AS PERSONAL, MONEY OWED) TO MAGICALMOMENTS1@OPTONLINE.NET
Mail this with your $100 deposit OR cut and paste into an email and send to magicalmoments1@optonline.net
