Thank you for your interest in request Miss Romania US
Please fill out the questions below with the most accurate information. Once we review the information we will contact you regarding your request.
This form is a REQUEST ONLY and does NOT confirm any participation in an event or appearance.
Please select which Titleholder(s) you wish to invite to an Upcoming Event.
Miss Romania US
Miss Diaspora USA
*Name:
*Title:
*Organization:
*Address:
*City:
*State:
*Country:
*Zip Code:
*Phone Number:
*Fax Number:
*Email:
*Mobile Number:
*Name of Event:
*Dates Requesting: through Year
*Time Day 1: through
Time Day 2: through
Time Day 3: through
Time Day 4: through
*Travel Dates: through Year
*Description of Event:
*Titleholder Duties:
*Is your Organization a Not For Profit?: YES NO
*Will the proceeds from this event benefit a charity?: YES NO
If Yes, please provide the
name of the charity.
Address of the Charity
Type of Charity:
*Confirmed Guest
(celebrities, sports figures, public figures, etc.)