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Thank you for your interest in having Miss UAB, Vishwadha Gunda, appear at your event! Please submit all requests at least 7 business days before your event. Please let us know the details of your event below. If you have any questions, please email Miss UAB Director Jessica Brown at jcnathan@uab.edu Have a great day!

Name of Event:(*)

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Name of department/organization/sponsor hosting the event:(*)

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Name of Contact Person:(*)

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Phone Number of Contact Person(*)

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Email Address of Contact Person(*)

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Please provide the start date and time of the event:(*)

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Please provide the end date and time of the event:(*)

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Time Miss UAB should arrive:(*)

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Event location (please include address):(*)

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If you would like Miss UAB to speak at your event, please provide the topic and length of time:(*)

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What is the attire for this event?(*)

Formal/Black Tie

Business Casual

Casual

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How many do you expect to be in attendance?(*)

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Are there any other details we need to know about your event? If you would like to provide an honorarium, please indicate the amount here. Make all checks payable to Vishwadha Gunda.(*)

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(*)

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