2022 Ultimate International Miss NJ & NY Payment Form
Please carefully fill out this form to submit any remaining payments for the 2022 Ultimate International Miss New Jersey & New York State Pageant.
Delegate's Name
*
First Name
Last Name
Parent/Guardian's Name (if delegate under age 18)
First Name
Last Name
State
*
Please Select
New Jersey
New York
Northeast (Open State)
You may compete in any state you live or attend school in.
Division
*
Please Select
Junior Princess (ages 4-6)
Princess (ages 7-9)
Preteen (ages 10-12)
Junior Teen (ages 13-15)
Teen (ages 16-18)
Miss (ages 19-25)
Ms. (ages 26+)
Mrs. (ages 19+)
Age divisions are as of January 1, 2022.
Entry Fees
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Ultimate International Miss State Full Sponsorship
Please add this option if you wish to pay your entire sponsorship fee.
$
195.00
Ultimate International Miss State Half Sponsorship
Please add this option if you wish to pay half of your sponsorship fee.
$
97.50
Casual Wear Entry
Please add this option if you wish to pay your entry fee for this optional competition. You may also pay for optional competitions at pageant check-in.
$
35.00
Talent Entry
Please add this option if you wish to pay your entry fee for this optional competition. You may also pay for optional competitions at pageant check-in.
$
35.00
Fitness & Lifestyle Entry
Please add this option if you wish to pay your entry fee for this optional competition. You may also pay for optional competitions at pageant check-in.
$
35.00
Print Model Entry
Please add this option if you wish to pay your entry fee for this optional competition. You may also pay for optional competitions at pageant check-in.
$
35.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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