Please print out this request form, fill in all information even if non-applicable in the following information and fax back to Karynna Machado at (212) 846-8158. Incomplete requests forms may delay your request.
Nick Contact: | Karynna Machado 212-846-8158 212-846-1310 (fax) karynna.machado@nick.com
Company Requesting: |
Contact Name: |
Contact Phone: |
Contact Fax: |
Costumes Requested: |
Event Name: |
Description of Event/Purpose & Goals: |
Event Location(s): |
Event Region/Market: |
Event Date(s): |
Event Time(s): |
Event Contact: |
Date Contract Sent: |
Promotional Plans: |
Cable TV: |
Print: |
Radio: |
In-Store: |
Other: |
Materials Sent: |
Date Sent: |