EmailMe Form - Picture perfect pageants

Name
First Last
Email
Phone
### - ### - ####
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Age of contestant
Please select package
Supreme Package $200 ( includes beauty, OOC#1, photogenic and side awards)
Sibling Package $150 (1st sibling pays full price each additional sibling receives $50 off)
Optional (all optional listed below are NOT included in Supreme Package)
Mega Supreme $20
Overalls $20
2nd OOC $20
Talent $20
Amateur Supreme $20 (must not have won more then 100.00 in any 1 pageant)
By signing your name below you are agreeing to compete in this event and if you are not able to for any reason your deposit of $65 is non refundable. Deposits can be sent via EMT or PayPal to emmatomjesseliam@gmail.com
Please list all additional Optionals here as form only allows 1 choice.