Payments Make A Payment "*" indicates required fields Contestant's Name*Please give the contestant's name for whom you're making payment. First Last DepositThis non-refundable deposit secures your place in this year's pageant. This will be applied to the Entry Fee. $500 • Deposit None Entry FeeThe total Entry Fee is $2,000. You have the option to pay the entire balance or to make multiple payments over time. If you have previously paid your $500 deposit, that will be applied to your Entry Fee. $500.00 • Partial Payment $1000.00 • Partial Payment $1500.00 • Entry Fee None Other Payment AmountIf you are making a payment for something other than what is listed above, please enter your desired amount in the box below. NotesIf you have any notes about this payment, please make them here. 5% Online Convenience Fee* Price: $0.00 Total Who is making this payment?* 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* 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* 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. Cardholder's Name* First Last 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*Cardholder's Email* Enter Email Confirm Email Credit Card Cardholder's Signature* Δ
