Organization Name

Representative Position in Organization

Representative's Cell Phone Number

Representative's Office Phone Number

Representative's Email

Name or Title of Event

Event Purpose

Detailed description of where the individual will be meeting Miss Idaho's Teen for this appearance:

Please provide details of what you would like Miss Idaho's Teen to do for your organization:

Provide information such as duration of speech, how many songs you would like her to perform, number attendees, etc.

If this is a themed event, please describe.

If Miss Idaho's Teen participates in an event whose ending time is after 9 PM and is located more than 1 hour from her home base of Tampa, we request lodging be provided for her. At which hotel will the organization be providing her lodging?

Lodging Confirmation Number

Appearance Fee

Miss Idaho's Teen's appearance fee will be invoiced to the organization upon finalization of booking with the Booking Manager

Total Appearance Fee Cost

$

Round trip mileage from Nampa to the address of the event location

We may adjust to actual mileage from Miss Idaho's Teen's home or location on the date of the event

Total Mileage Cost

$

Total Amount to be invoiced upon submission

$

Additional information that would assist Miss Idaho's Teen and/or the booking manager with this appearance.