Jr. Miss and Pre-Teen Galaxy
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Request a Titleholder
for an appearance

Thank you for your interest in booking Jr. Miss Galaxy® or Miss Pre-Teen Galaxy®

PLEASE NOTE:  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 Harrison Productions, LLC. Harrison Producitons, LLC 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. *Denotes required field.

CONTACT INFORMATION
I am requesting the appearance of: Jr. Miss Galaxy Miss Pre-Teen Galaxy

*Name

Title

Organization

*Address
*Telephone
Fax
*Email
Website
EVENT INFORMATION
Name of Event
Description of Event
Titleholder Duties
Is your organization a Non-Profit? Yes No

TRAVEL AND APPREARANCE

DatesRequesting:

through
Time Day 1: until
Time Day 2: until

DatesTravel:

through