If you are interested in becoming a contestant, please email office (at) missromaniaunitedstates.com or call our main office (312) 637-9880 and provide the below information.

 

   
Name:
*
Mailing Address:
*
City:
*
State:
*
Zip:
*
County:
*
Birthdate:
*
Phone Number:
*
E-mail:
*
 



An entry from and information will be mailed to you within 4 weeks. After you fill out the form, please return it to us along with a recent photo or snapshot.