Make A Payment Home $ Payment Payment Contestant's Name*Please give the contestant's name for whom you're making payment. First Last State* AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Which Division is the Contestant Competing in? Miss All American Miss Teen All American Miss Junior All American Registration Fee $300 • Registration Fee None Entry Fee Payment Options (Miss or Teen) $595 • 1st Entry Fee Payment $600 • 2nd Entry Fee Payment $1,195 • Entry Fee (Paid In Full) None Entry Fee Payment Options (Junior) $495 • 1st Entry Fee Payment $500 • 2nd Entry Fee Payment $995 • Entry Fee (Paid In Full) None **NOTE** If you are submitting the $300 Registration Fee, you do not need to pay the State Title Fee or Hair & Makeup Fee at this time. These optional fees can be paid later. State Title Fee (Optional)All contestants have the unique opportunity to compete for both the prestigious National Title and their State Title! As a State Titleholder. You’ll receive the exclusive Miss All American state crown, a double rhinestoned and embroidered sash, and a personalized website dedicated just to you. $395 • State Title Fee None Hair & Makeup Fee (Optional)Contestants are permitted to have a personal hair/make-up artist during the pageant week. We will have designated areas for the stylists to provide their services before the Interviews, Preliminaries, and Finals. The fee to use a hair/make-up artist is $250, which covers the space rental, artist's workstation, chair, and power. $250 • Hair & Makeup Fee None Other Payment Amount NotesIf you have any notes about this payment, please make them here.5% Online Convenience Fee* Price: $0.00 Total Who is making this payment?* I am a contestant and making a payment on my behalf. I am making a payment on behalf of a contestant. All Fees Are Non-Refundable* I understand that this payment is non-refundable. If I drop out of the pageant, no refunds will be issued for this or any subsequent payments. All fees are non-transferable. All Fees Are Non-Refundable* I understand that by submitting this payment on behalf of the contestant listed above, the payment is non-refundable. If the contestant drops out of the pageant, no refunds will be issued for this or any subsequent payments. All fees are non-transferable. Cardholder's Name First Last Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name Cardholder's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cardholder's Phone*Cardholder's Email* Enter Email Confirm Email
