Washington Miss American Belle
2004 Washington State Entry Form

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Entry Form:

Mandatory Entry Package $90.00

includes Evening Wear & Choice Modeling

 Grand Supreme package $130.00

includes mandatory + 1 talent + 1 photogenic + bonus optionals

Individual items:

Talent $ 25   (may do 2 talents, higher score used if 2 are done)

1st Photogenic $ 25 (may enter extra photogenics, highest score used)

bonus optionals all 5 $ 25

Deposit (minimum $90.00) _______

Amount Owed at Door _______

Type of modeling

Pro Am _______

Straight T ______

Costume ______

Additional Modeling events 25.00

 

 

Name _______________________ Age _______ 

Address __________________________________

Zip code ___________ phone _____________

 

E-mail ____________________________________

 

I agree that judges decision is final. I agree to display good sportsmanship at all times by contestant and all guests of contestant. I understand that my deposit nonrefundable I agree that Miss American Belle and its representatives are not responsible for damage, theft or injury to myself or my property. Miss American Belle has the right to add titles, prizes and awards to the pageant.

________________________________________________________ ____________________________________

signature of contestant or parent/guardian if under 18 date

 


For PayPal information please contact us at donnamayj@qwest.net or send money order and entry form
 
Donna Johnsen
4825 Delridge Way SW Apt B
Seattle WA 98106
 
No Personal Checks Will Be Accepted.
 

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Make someones day, smile at them.