ULM Titleholders Appearance Request Form

Contact Name:

Organization:

Phone Number:

Email Address:

Contact Name and Phone Number day of and during event:

Appearance Request: (check all that apply)

Miss ULM

Mr. ULM

Miss ULM’s Teen

Event Name/Title:

Date of Appearance:

Time of Appearance:

Event Address:

Event Description: (Please list what will be needed/expected from the Titleholder(s) ex. Greeting guests, pictures, hosting, talent performance, etc.)

Preferred Attire: (Event dress code ex. Casual, formal, business casual, etc.)

Additional Notes and Information for the Titleholders:

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