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MSP Award
 
Mascot Appearance Request Form

I would like Looie the Lookouts and/or the Trash Monster to make an appearance at my event. Required fields are in bold print.

Name:
Email:
Address:
State Code (ie. "TN"):
Zip:
Daytime Phone:  (include area code)
Evening Phone:  (include area code)
Fax:  (include area code)
I would like to request:

Date Requested:  (ie. "4/8/2004")
Time Requested:  (ie. "1:00") AM   PM
I am a:

Comments:
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