Miss Vietnam California

REQUEST FOR MISS VIETNAM CALIFORNIA ONLINE FORM

Thank you for your interest in booking Miss Vietnam California. Please fill out the questions below with the most accurate information. Once we review the information we will contact you regarding your request. This form is a REQUEST ONLY and does NOT confirm any participation in an event or appearance.

Again, thank you for your interest!

ALL FIELDS WITH * MUST BE FILLED OUT OR YOUR REQUEST WILL NOT BE PROCESSED.

*Name:

*Title:

*Organization:

*Address:

*City: *State:
*Zip Code:

*Telephone:

Mobile/Cell Number:

Fax Number:

*Email:

*Name of Event:

*Dates Requesting (MM/DD/YYYY):

*Description of Event:

*Titleholder Duties:

*Is your Organization Non for Proft?: Yes No

*Will the proceeds from this event benefit a charity: Yes No

If YES, please provide the name of charity.

Address of Charity.

Type of Charity.

*Confirmed Guest (celebrities, sports figures, public figures, etc.)

*Approximate Number of People Attending.

*Do you have a Public Relations Firm? Yes No

If Yes, please provide Contact Name.

Public Relations Contact Number.

Media Attending.

What publicity are you doing for the Event?

All requests are subject to the approval of The Miss Vietnam California organization. The Miss Vietnam California Organization 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 and The Miss Universe Organization's Standard Titleholder Personal Appearance Agreement is executed by all parties.