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Completion of this form is a request only and does not guarantee an appearance.
**All requests must be submitted at least four weeks prior to the event**

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* Event date of your appearance request:

Date

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* Please fill out the following contact information completely.

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* Organization Type:

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* Please enter the event address information. This is not the organization's address, but the address where the appearance will potentially take place.

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* Contact Information

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* Event time of your appearance request:

Time

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* Detailed Event Description: (Please Specify: Who benefits?, Other Celebrities or Dignitaries?)

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* Detailed Description of Player's Responsibilities :

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