MBUSAM/MBIA Legacy Queen, Alumni, Former Staff -10th Year Anniversary RSVP
Good Day Queens! 

What a pleasure and honor it is to welcome you to the 10th Anniversary Celebration of the Miss Black US Ambassador/Miss Black International Ambassador Pageant!

Please utilize this form to allow us to capture your information as a means to get a headcount on who all will be attending the celebrations in Atlanta, Georgia, USA October 13th-15th 2023!

If you will not be attending, please continue to fill out your information so that we have it in our official database for future communication! 

PLEASE COMPLETE BY JUNE 1st 2023, SO WE CAN PREPARE FOR YOU (:
EXTENDED TO JUNE 17th 2023!

Thank you so much for your legacy,
MBIA Staff
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What is your full name (updated)?
What is your email?
What is your address?
What is your phone number?
Are you a Legacy Queen, Alumni Queen, or Former Staff?
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What year did you win, compete, or serve?
What was your title or staff role?
Will you be attending the 10th Anniversary Celebration, October 13th-15th?
Clear selection
What events will you be attending? *Discounted tickets will be made available
Are you interested in joining the 10th Year Anniversary Planning and Fundraising Committee?
Clear selection
Clear selection
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For marketing purposes: What does MBUSAM/MBIA mean to you; how has it impacted your life?
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