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Mavs Man Appearance Request Form
ORGANIZATION_______________________________________________________________
TYPE(PLEASE CHECK)___BUSINESS___CHARITY___CHURCH___CIVIC ___SCHOOL ___OTHER
ADDRESS_____________________________________
CITY___________________STATE_____ZIP________
TELEPHONE( ___) ________________________________
CONTACT NAME________________________________ CONTACT TELEPHONE(__) ________________
E-MAIL__________________________________
ON-SITE CONTACT NAME & TELEPHONE______________________________________________
EVENT DATE _____________________ EVENT TIME - FROM:________ UNTIL:_______
EVENT LOCATION _______________________________________________________________
ADDRESS_____________________________________
CITY___________________STATE_____ZIP________
EVENT THEME_______________________________________________________________
EVENT DESCRIPTION (please specify: Who benefits?, Other Celebrities or Dignitaries?)
_______________________________________________________________________________________
MASCOT'S ROLE AT EVENT_______________________________________________________________
AUDIENCE SIZE________ AUDIENCE AGE RANGE_________________________________
PAYMENT OPTIONS:
CHECK ENCLOSEDVISA M/C AMEX DISCOVER CARD CREDIT CARD#_______________________________________ |
PAYMENT IS DUE TWO (2) WEEKS PRIOR TO DATE OF EVENT!
Please return completed form to:
Dallas Mavericks
Attention: Jim Tennison
2909 Taylor St
Dallas, TX 75226
or fax to (214) 752-3860
MAVS STAFF USE ONLY
CONFIRMATION OF RECEIPT: DATE_____ TIME_______ VIA____________
CONFIRMED OR DECLINED: DATE_____ TIME_______ VIA____________
SCHEDULED: __________________________TIME_________
