2014 Individual Celebrity Registration Form

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2014 SCARLET & GOLD INVITATIONAL AT RIVER LANDING Individual Celebrity REGISTRATION FORM 2014 Scarlet & Gold Invitational September 14-17th, 2014 CONTACT INFORMATION First Name Last Name Address City State ZIP Code Primary Phone E-mail Office Phone Cell Phone

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Once completed please send an email with this attached to [email protected], or [email protected]

Transcript of 2014 Individual Celebrity Registration Form

Page 1: 2014 Individual Celebrity Registration Form

2014

SCARLET & GOLD INVITATIONAL AT RIVER LANDING Individual Celebrity REGISTRATION FORM

2014 Scarlet & Gold InvitationalSeptember 14-17th, 2014

CONTACT INFORMATION

First Name Last Name

Address

City State ZIP Code

Primary Phone E-mail

Office Phone Cell Phone

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ACCOMMODATION INFORMATION

The Scarlet & Gold Committee has reserved all corresponding rooms at the Holiday Inn Express & Suites in Wallace, NC. Mr. Cam McLemore will arrange your reservations for the weekend. Cam can be reached by phone at 888-285-4171 or by email at [email protected]. Please fill out all pages of the form and email directly to Cam McLemore.

Arrival Date (MM/DD/YYYY) Departure Date (MM/DD/YYYY)

Number of guests

Are you planning on Driving or Flying?

Do you need transportation from the airport to the hotel?

Yes No

Flight Number Time

ARRIVAL AIRPORT

Do you need transportation from the hotel to the airport after the event?

Yes No

DEPARTURE AIRPORT

Flight Number Time DATE (MM/DD/YYYY)

PLEASE CONTINUE TO THE MEDIA LISTING SECTION - ON THE NEXT PAGE

MEDIA LISTING INFORMATION

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Do you have a promotional shot that you would like used in the 2014 Scarlet & Gold Media Kit?

Yes No

If the above answer is yes, please send Cam McLemore a copy of your promotional shot that can be used in the 2014 Scarlet & Gold Media Kit. By submitting the promotional photo you have authorized the use of your material in the 2014 Scarlet & Gold Invitational. To submit your photo please email Cam directly at [email protected]

Do you have a Twitter Account?

Yes No

If yes, What is your Twitter Handle?

If yes, would you post items from the event to Twitter?

Yes No

Do you have a Facebook Account?

Yes No

If yes, would you post items from the event on Facebook?

Yes No

Media General Description- Please provide a synopsis or snapshot of your career. Or feel free to submit a bio to Cam McLemore. Click here to email your bio to Cam.

Hope For The Warriors® Support Page

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PLEASE TELL US WHY YOU SUPPORT HOPE FOR THE WARRIORS®! PLEASE TELL US WHY YOU ARE HERE WITH US CELEBRATING THIS EVENT!

Do we have permission to share your support with local, regional, and national media outlets?

Yes No