Beauty Bar Name(Required) First Last Which Pageant Are You Competing In?(Required) Miss Florida USA Miss Florida Teen USA Title(Required) Which Artist Team Are You Working With?(Required) Team Flawless Victoria Duke Product Name(Required) Price: $0.00 Total Who is making this payment?(Required) I am a contestant and making a payment on my behalf. I am making a payment on behalf of a contestant. All Fees Are Non-Refundable(Required) I understand that this payment is non-refundable. In the event that I drop out of the pageant, I realize there will be no refund of this payment, nor for any other subsequent payment. All fees paid are not transferable. All Fees Are Non-Refundable(Required) I understand that as soon as I submit this payment on behalf of the contestant listed above, my payment is non-refundable. Therefore, if the contestant drops out of the pageant, there will be no refund of this payment. All fees paid are not transferable. Beauty Bar Fee Acknowledgement(Required) I understand that this fee is separate from whatever fee the artist charges. This fee does not include any hair & makeup services, only admission into the Beauty Bar. Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Cardholder's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cardholder's Phone(Required)Cardholder's Email(Required) Δ