Completion of this form is a request only and does not guarantee an appearance.

ORGANIZATION_______________________________________________________________

TYPE(PLEASE CHECK)___BUSINESS___CHARITY___CHURCH___CIVIC ___SCHOOL ___OTHER

ADDRESS_____________________________________

CITY___________________STATE_____ZIP________

TELEPHONE( ___) ________________________________

FAX ________________________________

CONTACT NAME________________________________ CONTACT TELEPHONE(__) ________________

E-MAIL__________________________________

ON-SITE CONTACT NAME & TELEPHONE (Cell Phone)______________________________________________

EVENT NAME/TYPE OF EVENT_______________________________________________________________

EVENT DATE _____________________ EVENT TIME - FROM:________ UNTIL:_______

EVENT LOCATION _______________________________________________________________

ADDRESS_____________________________________

CITY___________________STATE_____ZIP________

DANCERS ROLE AT EVENT:
MEET/GREET___ AUTOGRAPHS___ PERFORMANCE___ POSING FOR PHOTOS___

NUMBER OF DANCERS (minimum of two) ______ AUDIENCE SIZE________ AUDIENCE AGE RANGE___________

Please return completed form to:
Dallas Mavericks
Attention: Kirsten Seiter, Dancer Appearance Coordinator
2909 Taylor St
Dallas, TX 75226
or fax to (214) 672-1758

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