Order Form-Appointed Titles

Contestant Name:*

First NameLast Name

Birth Date*

MonthDayYear

Select your age division (age as of January 1, 2025)*

Universal Baby (0-2)Universal Mini (3-6)Universal Young Miss (7-9)Universal Preteen (10-12)Universal Teen (13-16)Universal Junior Miss (17-20)Universal Miss (21-29) -Married/Divorced/Has ChildrenUniversal Elite Miss (30+)-Married/Divorced/Has Children

Select the state you are representing *

What title have you been given by your state director? "Miss....."*

Name on the back of your sash-Check Spelling as this will be exactly what is ordered- LAST NAMES not permitted*

Select your Sash Size*

Small approx. 45" (typically 0-3 yrs)Medium approx. 53-55" (typically 3-6 yrs)Large approx. 59-60" (typically 7-12 Years)X-Large 71-72" (typically 13+ years)

Guardian Name IF under the age of 18 years:

First NameLast Name

Phone Number:*

Area CodePhone Number

E-mail Address:*

The one checked the most.

Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

By submitting this form, I am acknowledging that I am 18 years or older, and that I have read, understand and agree to the rules and regulations as set forth by Universal Pageant System LLC, Universal Miss. Furthermore, I understand that ALL FEES are non-refundable and non-transferable. Signature below is required for your application to be complete. If your award's fee does not accompany this form, your awards will not be order and your title will not be valid. *

NOTE: Crown and Sash are from two different vendors, they will NOT be shipped together. *

Option 1: DID NOT HAVE A (Season 5) REGIONAL COMPETITION$275.00

Inclusive of your crown, rhinestone sash with your name on the back, PLUS $150 discount off your National Registration Fees.

Option 2: DID HAVE A (Season 5) REGIONAL COMPETITION, BUT DID NOT COMPETE$275.00

Inclusive of your crown, and sash with your name on the back.

Option 3: DID HAVE A (Season 5) REGIONAL, AND DID COMPETE$100.00

Inclusive of your crown and sash with your name on the back.

Option 4: VIP UM Contestant - Crown & Sash$120.00

Inclusive of your crown and sash with your name on the back.

Option 5: VIP UM Contestant - Sash Only $60.00

Inclusive of your sash with your name on the back

NE Regional title $50.00

Subtotal $0.00Tax $0.00Shipping $0.00Total $0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.