Appointed Titleholder Application
Contestant Details:
Contestants 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
Age Division (As of September 1st, 2024)
*
Princess 4-6
Jr. Preteen 7-9
Preteen 10-12
Jr. Teen 13-15
Teen 16-19
Miss 20-25
T-Shirt size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult 2XL
Title you are applying for (this can be state, regional or International)
*
International Appointed titleholder fees
prev
next
( X )
Appointed Titleholder Fee
$
375.00
Quantity
1
2
3
4
5
6
7
8
9
10
Application Fee
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Contestants Social Media
*
How did you hear about us?
*
Please Select
Instagram / Facebook
Past Contestant
Director
Recommended by current International Queen
Other
Please give reference of any two people whom you feel would be interested in International Miss:
Full Name
Address
Contact Email
1
2
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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