Request an Appearance

Mrs. NJ Intl: Appearance Request Form

Thank you for your interest in having Lauren Garcia-Marcigliano, Mrs. New Jersey International, make an appearance at your event! Please complete the form below so we can learn more and follow up accordingly.
CONTACT INFORMATION
Name

First NameLast Name
Business / Organization Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Social Media Links
EVENT DETAILS
Event Name
Event Date

MonthDayYear
Date
Event Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Event
Brief Description of the Event and Its Purpose
How would you like Mrs. New Jersey International to participate?
How would you like Mrs. New Jersey International to participate?

Guest Speaker/PanelistHost/EmceeMeet & GreetContent Collaboration (Live, Reels, etc.)Volunteer / Community SupportOther
What topic(s) would you like her to speak on (if applicable)?

Strength in Bloom platformWomen’s empowerment / entrepreneurshipCaregiving & family journey with ALSMental wellness & confidence
Additional Notes or Special Requests:
Thank you for considering Mrs. New Jersey International to be part of your event or initiative. Each appearance is an opportunity to amplify the message behind Strength in Bloom and to connect with people through purpose, empowerment, and compassion. We look forward to reviewing your request and will get back to you within 5–7 business days.
Should be Empty:

Mrs. NJ Intl: Appearance Request Form