Payment Form

Registration Fee Payment

*Please note that your $199 Registration Deposit Payment 1 should not be submitted here. It should submitted as a part of Registration Part 1.

How would you like to make your registration fee payment? *

Credit Card (preferred) Check(s)

Select Your State *

COLORADO IOWA MINNESOTA NORTH DAKOTA SOUTH DAKOTA WISCONSIN WYOMING

Select Your Division (TEEN born in 2003-2007, MISS born in 1994-2003) *

TEEN MISS

Contestant Name *

First Name Last Name

Email for Receipt *

I understand that as soon as I pay the required deposit, Future Productions will automatically make the necessary plans for my participation in the pageant. Therefore, if I should drop out of the pageant, there will be no refund for the deposit under any circumstances. Any registration fees above the deposit are also not refundable but can be transferred to the following year's participation so long as the contestant notifies the pageant office at least 60 days prior to the start of the state pageant. The required deposit is not transferable.

Signature *

Clear

PRINT THIS PAGE and mail it with your check(s) (made out to "Future Productions") to:
State Pageant Offices, 7907 Stafford Trail, Savage, MN 55378

Please enter the amount of your payment below (any amount can be entered)

Second Payment	Final Payment
$300	$500

Or, to pay the full balance of your Registration Fee now, please enter $800

Please enter the amount of your payment below (any amount can be entered)

Second Payment	Final Payment
$300	$450

Or, to pay the full balance of your Registration Fee now, please enter $750

Please enter the amount of your payment below (any amount can be entered)

Second Payment	Final Payment
$300	$400

Or, to pay the full balance of your Registration Fee now, please enter $700

Please enter the amount of your payment below (any amount can be entered)

Second Payment	Final Payment
$300	$200

Or, to pay the full balance of your Registration Fee now, please enter $500

Contestant Registration Fee Payment *

USD Please enter the amount of your payment

Payment Information