Optionals Registration Form
Lifestyle & Fitness, Casual Wear and Talent require INFO FORM emailed to UNMIndiana@gmail.com.
DELEGATE'S NAME
*
First Name
Last Name
DIVISION
JR MISS DIVISIONS (Jr Princess, Princess, Preteen)
MISS DIVISIONS (Jr Teen, Teen, Miss)
STATE
INDIANA
ILLINOIS
EMAIL
OPTIONAL SELECTIONS
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( X )
MISS HOOSIER STATE (Indiana) /MISS PRAIRIE STATE (Illinois)
$100.00
$
100.00
Awarded to 1st RU in each age division that is entered.
Cover Model
$50.00
$
50.00
Supermodel (select Cover Model also)
$50.00
$
50.00
Lifestyle & Fitness
$50.00
$
50.00
Top Model
$75.00
$
75.00
Model Portfolio
$50.00
$
50.00
Casual Wear Model
$50.00
$
50.00
Talent
$50.00
$
50.00
Online Processing Fee
$20.00
$
20.00
Enter coupon
Apply
Total
$0.00
$
0.00
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