American Renaissance Pageants

Title Request/ Application Form

"Renaissance Woman" one who exudes style, grace and presence while being active, engaged and knowledgeable.

The Title Request/ Application Form is to be completed and submitted to the national office for consideration. This is your first step in entering the 2009 Pageant.

We look forward to seeing you! Best of Luck!

Name	First, Middle, Last
Address
	City ST Zip
Phone	(day)
	(evening)
	(cell)
	(fax)
E-mail	(Please make sure you give a good address.)
Birthdate
Birthplace	(City, State)
Division	Ms. (Age 18 to 25 yrs, nevers married) ~ $600 Ms. (Age 26 to 45 yrs, not married) ~ $600 Mrs. (Age 21 yrs & up, currently married) ~ $600 Ms. Classic (Age 46 yrs. & up, any marital status) ~ $600 Ms. Woman (Age 18 yrs. & up, Size 16 & up) ~ $600 Ms. Civic (Age 18 yrs. & up) ~ $300 Ms. Talent (Age 18 yrs. & up) ~ $150 Ms. Spirit (Age 18 yrs. & up) ~ $150 Check only one
Title Requested	All titles are available for release until contestants have paid a deposit to hold a requested title. 1st Choice: 2nd Choice: 3rd Choice:

American Renaissance Pageant, Official Entry Form /State Title Request

have read the official entry form and agree to be bound by the American Renaissance Pageant Official Rules and Regulationsset forth. I hereby state that all information is true. Any misrepresentation will cause immediate disqualification. If selected as a delegate, I agree to participate in the 2009 American Renaissance Pageant and if crowned one of the category winners, I agree to sign a contract stating that I will make public appearances on behalf of the ARNP. I also agree to return to the 2010 national pageant for the purpose of crowning my successor. If I cannot fulfill these obligations, the title and all prizes earned will be relinquished and returned to the ARNP.

Applicant Name (please reenter to accept above statement)
First, Middle, Last

	I will submit my application fee by mail

	I will submit my photo through email
	I will submit my photo by mail

January 6, 2009
Application Date

Referrals: Please let us know how you heard about us.

	Pageantry Magazine
	TFTJ Magazine/Web Site
	Other

The American Renaissance Pageant awaits you.

The 2009 ARNP will be held June 18th - 20th, 2009 at the Doubletree Castle Hotel in Orlando, FL.

Applications for 2009 are now being accepted.

Site design by: Inventive Site Strategies, Inc.

The American Renaissance Pageant awaits you.

The 2009 ARNP will be held June 18th - 20th, 2009 at the Doubletree Castle Hotel in Orlando, FL.

Applications for 2009 are now being accepted.

Site design by: Inventive Site Strategies, Inc.