Request Miss U.S. International for an appearance at your event PLEASE NOTE and AGREEMENT:  Thank you for your interest in booking Miss U.S. International. 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 the Director of Business Development, we do not approve the booking of our titleholder's personal appearances and shall not be under any obligation to furnish the services of the Titleholder until we approve a Titleholder appearance request. * Indicates a required field. CONTACT INFORMATION Name * Company* Title Address* Include Street Address, City, State, Postal Code & Country Telephone* Cell Phone Email* EVENT INFORMATION Name of Event Dates of Event Titleholder Duties Description of Event:* NON PROFIT STATUS Is your Organization a Not for Profit? Yes No Will the proceeds from this event benefit a charity? Yes No NOTES OR COMMENTS Notes or comments Please let us know any special requests or requirements By clicking "I Agree - Submit my Request" below, I am attaching my electronic signature to and agreeing to the AGREEMENT above. I understand that if I do not agree to the agreement, I should not continue.