2015BADGE ORDER FORM

COSTS:

$15 PER BADGE IF RECEIVEDNO LATER THAN MAY 2, 2015

$30 PER BADGE IF RECEIVED BETWEEN MAY 3-16, 2015

$40 PER BADGE FOR ALL ORDERS RECEIVED AFTER MAY 16, INCLUDING ON SITE DURING PAGEANT WEEK!

  • Payable by check or credit card (VISA/MC only). Checks should be made payable to “Miss Virginia Pageant”. Use provided fax order form for credit card purchases.
  • All requests on a badge order form should be affiliated with one specific local pageant, if applicable (put “n/a” if not, such as for state volunteers, for example)
  • If extra forms are needed, feel free to duplicate the second page as much as needed.
  • BADGES ARE NEEDED ONLY FOR ADMISSION TO VISITATION ON THURSDAY AND FRIDAY NIGHTS AFTER COMPETITION, AND/OR FOR ADMISSION TO THE CIVIC CENTER DURING REHEARSALS. THEY DONOT PROVIDE ADMISSION TO THE 4 POINTS PARTY ON SATURDAY NIGHT!
  • Any questions, please contact Toni at , or at 540-774-9459 (home) or 540-375-2303 (work)

FAX orders to 540-375-2092. Mail orders to (please do NOT send using a method requiring a signature for delivery!!!): Toni McLawhorn

`Miss Virginia Badge Orders

3527 Penn Forest Blvd.

Roanoke, VA 24018

PLEASE PRINT NAMES Legibly!!!!

“MISS” Local Pageant Affiliation (if applicable)______

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable

Name as you wish it to appear on badge______

PLEASE CIRCLE ONE: State Board, State Volunteer (Committee______), Local Board or Volunteer (Position______), Contestant Family, Friend

PLEASE CIRCLE LEVEL OF YOUR CONTESTANT: Miss, Teen, Preteen, Princess, Not applicable