Illinois Galaxy Pageants
Thank you for your interest in booking Miss Teen Illinois Galaxy, Miss Illinois Galaxy and Mrs. Illinois Galaxy PLEASE NOTE: You must fill out all of the areas so that we may assess your request and forward it to the appropriate person, All requests are subject to the approval of Harrison Productions, LLC. Harrison Producitons, LLC 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.
I am requesting the appearance of:
Miss Teen Illinois Galaxy® Miss Illinois Galaxy® Ms. Illinois Galaxy® Mrs. Illinois Galaxy®
Contact Information
Name: Title:
Organization: Address:
City: Zip Code: Fax Number:
Email Address: Telephone: Extension:
Event Information
Name of Event :
Dates Requesting: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 through Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Time Day 1: Start Time 01:00AM 02:00AM 03:00AM 04:00AM 05:00AM 06:00AM 07:00AM 08:00AM 09:00AM 10:00AM 11:00AM 12:00AM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM 12:00AM through End Time 01:00AM 02:00AM 03:00AM 04:00AM 05:00AM 06:00AM 07:00AM 08:00AM 09:00AM 10:00AM 11:00AM 12:00AM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM 12:00AM Time Day 2: Start Time 01:00AM 02:00AM 03:00AM 04:00AM 05:00AM 06:00AM 07:00AM 08:00AM 09:00AM 10:00AM 11:00AM 12:00AM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM 12:00AM through End Time 01:00AM 02:00AM 03:00AM 04:00AM 05:00AM 06:00AM 07:00AM 08:00AM 09:00AM 10:00AM 11:00AM 12:00AM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM 12:00AM Travel Dates: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 through Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year
Description of Event :
Titleholder Duties: Is your Organization a Not For Profit?: YES NO
If yes, please provide the name of the charity :
More questions
Please feel free to contact the State Director, Britt Harrison at 810-743-2855 or via e-mail:
Director@IllinoisGalaxyPageants.com
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