Miss Illinois Appearance Request

Miss Illinois Appearance Request
Thank you for your interest in requesting an appearance from the Miss Illinois Scholarship Organization

Please fill out ALL areas of the form. ALL are required for a successful submission. If an area does not apply, type "N/A."

YOU WILL RECEIVE AN EMAIL RECEIPT AND A THANK YOU PROMPT AFTER SUBMISSION IF THE FORM WAS SUCCESSFULLY RECEIVED. IF YOU ARE NOT GETTING AN EMAIL OR THANK YOU PAGE AFTER SUBMISSION, EMAIL info@missillinois.org TO TROUBLESHOOT THE FORM.
Organization*
Event Date*

MonthDayYear
Event Start Time*

:HourMinutesAM/PM Option
Event End Time*

:HourMinutesAM/PM Option
Contact Person*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Office Phone Number*

Area CodePhone Number
Contact Person Cell Phone Number*

Area CodePhone Number
Event Details
Description of Organization*
Details of Appearance*
Event Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Person will be on siteContact Person will not be on site
If Contact Person not on site, please provide contact information for day of the event
Expected Audience Size*
What will Miss Illinois be expected to do?*

SpeakPerform TalentSign AutographsTake Photos
Suggested Wardrobe*

CasualBusinessCocktailEvening Gown
A response should be received within 48 hours of submitting this form. Please keep the email receipt for your records.
I have read the above statements and understand. *

Yes
Should be Empty:

Miss Illinois Appearance Request

Event Details