Items in bold text are mandatory

Contact Name: *
Contact Phone: *
Contact Email: *
Organization: *
Event Name: *
Venue / Facility: *
City: *
State/Province: *
Country: *
Start Date: *
End Date: *
Start Time:
End Time:
Event Website (if any):
Approximate number of attendees:
Number of characters requested:
Characters requested:
 Rebel Pilots 
  Jedi 
  Royalty 
  Rebel Troopers 
  Droids 
  Other 
Please list additional and/or specific character requests. In addition, besides the
Can you provide a secure changing room/staging area to accommodate costumed attendees?
 Yes 
  No 
Please (briefly) describe the event and your organization's role:
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