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CONTACT INFORMATION:
*Name:
*Mailing Address:
*City, State:
*Zip Code:
Physical Address (if different than mailing):
City, State (if different than mailing):
Zip Code (if different than mailing):
*Home Phone:
*Alternate Phone:
*Email Address:
PERSONAL INFORMATION:
*Birthday (Month / Day / Year):
*Occupation:
*Year Grad. from High School / Obtained GED:.
College Degree (if any):
*Volunteer Involvements:
*Hobbies / Interests:
*Do You Have a Motorcycle License?:
*Additional Information You Would
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APPLICATION TO THE MS. HARLEY-DAVIDSON ALASKA PAGEANT


By submitting this application, you must agree to the following.

AGREEMENT:

I understand that in order to qualify as a competitor in the Ms. Harley-Davidson Alaska Pageant, I
must abide by the following rules:

  -    Entrant must have or obtain her Motorcycle License prior to the final stage of the competition
  -    Entrant must appear at all of the stages of the competition
  -    Entrant must be at least 18 years of age
  -    Entrant must be of good moral character
  -    Entrant must be a citizen of the U.S. and a resident of Alaska
  -    Entrant must be a female, born a female

I understand that a background screening will be performed prior to acceptance in this competition.

I understand that if I win the title of Ms. Harley-Davidson Alaska. I will be obligated to make at least
7 official Appearances in the year 2010.
Ms. Harley-Davidson Alaska Pageant