www.sea.siemens.com/motorsports Personal Appearance Request Form APPEARANCE TYPE PLEASE FORWARD TO: Jim McGinn RMI/Atlanta 2498 Jett Ferry Road, Suite 100 Atlanta, GA 30338 Phone: (770) 399-9668 ext.103 Fax: (770) 391-9518 email@example.com Distributor Event Trade Show Facility Other (Check all that apply) APPEARANCE BY Kasey Kahne Elliott Sadler Company Name Event Contact Street City Phone Date of Appearance Time of Appearance Location of Appearance Directions (from major interstate highway) Fax Today’s Date E-mail State Cell Zip APPEARANCE MAY NOT EXCEED TWO HOURS Special Instructions or Requests Person Requesting Fax Phone E-mail Invoice Address (please contact Jim McGinn (770) 399-9668 for pricing) This form must be completed and returned before the personal appearance and appearance fee can be confirmed. Once the request is confirmed, the contact person listed above will be notified. Appearance fees can run from $10,000 to 50,000 plus air travel expenses. PLEASE PHOTOCOPY ADDITIONAL FORMS AS NEEDED.
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