43rd Miss Delta Teen Pageant Remittance Form

43rd Miss Delta Teen Pageant Remittance Form

Please complete this Remittance Form, upload the appropriate image files (if applicable), and click the “Submit” button below. Note: you must complete BOTH payment sections for order to process. We appreciate your support!
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
PAYMENT SECTION 1
If you are supporting a contestant with your contribution, click the drop-down menu and select the contestant’s name.
If you are supporting the “School Spirit Challenge” with your contribution, click the drop-down menu and select the school you are showing spirit for. PLEASE NOTE: The schools listed are the schools our contestants attend.
$35 - Ticket: Click the drop-down menu and select the number of tickets you are purchasing.
$30 - Pearl Patron: Please type a message to include in the pageant souvenir book.
100 characters maximum
$55 - Diamond Donor: (For members of Delta Sigma Theta only. Includes 1 ticket). Please type a message to include in the pageant souvenir book.
100 characters maximum
Add your Delta Sigma Theta Member number below
$50 - Business Card in the pageant souvenir book. Standard size (3.5” X 2”) only.

Please submit a high-definition image (300 dpi minimum).
Cancelof
$250 - Full Page Ad in the pageant souvenir book. NOTE: The book is 8.5” X 11”.

Please submit a high-definition image (300 dpi minimum).
Cancelof
$500 - Crimson Contributor: (Includes full page ad and 2 VIP tickets).

Please submit a high-definition image (300 dpi minimum).
Cancelof
If you are submitting a general donation, click the drop-down menu and select the amount below.
Please review your responses carefully before entering your grand total below. Then select your form of payment and click the "Submit" button.

** NOTE: Qualified donors are entitled to a federal income tax deduction for every dollar invested in our charitable work. If you are seeking a tax deduction, please make a check payable to "Delta Research and Educational Foundation" and contact the Pageant Co-Chairs at the following email address for further details: MissDeltaTeenPageant@gmail.com.

Thank you again for supporting the 43rd Miss Delta Teen Pageant and the award-winning Jacksonville Alumnae Chapter of Delta Sigma Theta Sorority, Inc.
PAYMENT SECTION 2
Total*
prevnext( X )
Ticket
$35.00 Quantity



Pearl PatronInclude a 100 character message to include in the souvenir book.
$30.00



Diamond Donor For members of Delta Sigma Theta Sorority, Inc. only. Includes one ticket and a 100 character message for souvenir book.
$55.00



Business Card Ad
$50.00 Quantity



Full Page Ad
$250.00 Quantity



Crimson ContributorIncludes full page ad and two VIP tickets.
$500.00 Quantity



General Donation
$10.00



Subtotal

$0.00

Tax

$0.00

Shipping

$0.00

Total

$0.00
Should be Empty: