| MICHIGAN MODEL MADNESS ENTRY FORM |
| Entries: I must have this form with payment to secure your spot! Personal info: Name:__________________________________________________________________________________________________ Street address:___________________________________________________________________________________________ City, State and Zip Code:___________________________________________________________________________________ Phone number:_________________________ Email address:____________________________ Initials (3):____________________________ I would like to be seated near: _______________________________________________ I have special diet needs:___________________________________________________ Entry info: Show entry _____X $50.00 includes lunch. Entry deadline October 13, 2007. Total Amount Due:___________ PLEASE MAKE CHECKS OR MO PAYABLE TO MELISSA HART Mail entries to: Melissa Hart- MMM Show 4810 West State Road Middleville, MI 49333 Call or email for questions- (269) 795 4880 please leave a message or MMHart@voyager.net You may use Paypal. The total entry will be $55.00 for Paypal entry. Please contact me before sending Paypal payment. Thanks! |