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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
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| Company
Requesting: |
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| Contact
Name: |
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| Contact
Phone: |
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| Contact
Fax: |
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| Costumes
Requested: |
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| Event
Name: |
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| Description
of Event/Purpose & Goals: |
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| Event
Location(s): |
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| Event
Region/Market: |
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| Event
Date(s): |
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| Event
Time(s): |
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| Event
Contact: |
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| Date
Contract Sent: |
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| Promotional
Plans: |
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| Cable
TV: |
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| Print:
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| Radio:
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| In-Store:
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| Other:
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| Materials
Sent: |
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| Date
Sent: |
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