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National Ms. Senior America Pageant


Talent Show Application

The Senior America Pageant Week Talent Show will NOT BE HELD for 2009 at Harrah's Resort in Atlantic City, New Jersey. Senior America Members may apply for an opportunity to be considered to perform in this show by completing the form below, by blocking the form and choose 'print selected' option. MAIL TO THE ADDRESS AT THE BOTTOM OF THE FORM (PAT & MARGUERITE MURTAGH). Please DO NOT mail the completed form together with your check or Money Order to pay for handling in the amount of $20.00 payable to:  Senior America, Inc.  Include a non-returnable copy of a CD containing only your talent material that you wish to be played in the show. SORRY BUT THE TALENT SHOW WILL NOT BE HELD FOR 2009 DUE TO A SHORTER PAGEANT WEEK.

Name of performer or Group: (note 1) 
Address:  
   
Phone Number:  
E-Mail:  
Talent:  
Music:  
MC Introduction
(10 seconds):
 
   
   
   
Special Staging Requests (note 2):  
   
   
Arrival Date:  
$20.00 Fee enclosed:  
CD enclosed:  
Mail:  CANCELLED FOR 2009. This Application, Check/MO & CD to our talent show directors:
Pat and Margurite Murtaugh
2518 North 62nd Street
Mesa, AZ 85215
Note 1: If more than one person, please attach separate sheet listing all names in the group.
Note 2: Special Staging Requests will be considered, but cannot be guaranteed.



Senior America, Inc.

Senior America, Inc.
387 Herbertsville Road
Brick, NJ 08724 USA

Phone (732) 746-2598
Fax (732) 601-9172

 

 
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