Delegate Registration - World Ambassador Competition
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Division- Age is as of Jan 1st of Competition Year
*
Preteen 9-13
Teen 14-19
Miss 20-29 & Single with or without children
Ms. 30 & Up Single or Married with or without children
You Tube Channel Link
IG Handle
Facebook User Name
TikTok User Name
Headshot Picture
*
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Region or Country Title Choice (Please List 3)
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Registration Fee
$
75.00
Sponsor Fee
$
445.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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