Appearance Request Form
Thank you for your interest in having Mississippi Miss Hospitality attend your event. Complete this form to submit a request for review. Requests are accepted on a first come, first serve basis. Please direct any additional questions to mshosp@visithburg.org or call 601-408-5494.
Name of Event/Organization
Date of Event
-
Month
-
Day
Year
Date
Time of Appearance
ex. 1:00pm - 4:00pm
Name of Contact Person
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Event Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If the travel distance exceeds 90 miles from Hattiesburg, MS hotel accommodations will be required for an appearance. Please indicate whether an overnight stay will be necessary and if accommodations will be provided by the host.
Yes, an overnight stay will be needed and accommodations will be provided.
No, an overnight stay is not necessary.
Additional comments regarding overnight stay are below.
Organization/Host Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Responsibilities/Duties of Miss Hospitality: (Select all that apply)
Appearance Only
Welcoming/Opening Remarks
Welcoming Visitors
Speaker
Signing Autographs
Other
Details/Specifications of Appearance Request/Additional Information Necessary
What type of pre-event press coverage will be provided and would you like a photo/information on Miss Hospitality and the program to use to promote her appearance with your organization?
Please attach any additional literature or information regarding the event or appearance.
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