B UT ME
MAGAZINE INK
Payment Form
Please Print. Make sure to mail/email payment form postal/via email with each paypal payment! Date_________________________ Delegate Title____________________________________________________________ Delegate Name___________________________________________________________ Parent/Guardian__________________________________________________________ I _____________________________________________________________ wish to make payment for the above title. I understand, payment must be 100% paid by, Deadline Contest 2008/09. I understand the crown and sash will not be ordered until entry fee is cleared. I understand I receive crown and sash as a titleholder. Should payment fail to be received on deadline, we will arrange for you to compete in the next pageant. Please make copies of this form after completing for your records.
Date_______________________________________________________________ Delegates Name______________________________________________________ Delegates Title_______________________________________________________ $____________ Payment Amount (put amount of payment made on line)
boutmepageants@tvstar.com