Supreme Miss Entry Form

Contact Details
Email*
Phone Number*
Home Address*

Street Address

Street Address Line 2

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Postal / Zip Code
Payment Information
Contestant (or parent if contestant is under 18) Signature*

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By signing here you consent to the use of electronic signature and are affirming your agreement with the terms and conditions listed above. This includes understanding that StarJewel Pageants does not administer refunds under any circumstances.

My Products*

Registration FeeBasic package includes entry into required events and divisional queen title eligibility. All-inclusive package upgrades your eligibility to include Supreme & Overall titles. If you select Deposit Only you will be invoiced for your remaining balance.

$100.00 Payment Option

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Subtotal

$0.00

Tax

$0.00

Total

$0.00

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Please note: Your registration will NOT be received if you do not submit payment. A nonrefundable deposit is required to complete registration. All payments are nonrefundable for any reason.
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Supreme Miss

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