DeltaPlex Arena & Conference Center Skin Deep Body Art Expo

February 15, 16 and 17

Miss Skin Deep / Application
Show Hours: Friday- 11AM to 10PM
Saturday-11AM to 10PM Sunday-11AM to 4PM

MISS SKIN DEEP 2013 PIN-UP CONTEST

Compete for the opportunity to win the first ever Miss Skin Deep pin up contest.

Register prior to show $10.00 - Available until February 11 Register at the show $30.00- Register during show hours up until 1PM, February 15.

CONTEST RULES
- Wear your best pin up style retro inspired fashions to the competition and in your pictures but, please be tasteful. No nudity or flashing will be tolerated. Inappropriate photos will not displayed and inappropriate behavior during the event will get you disqualified - Miss Skin Deep registrants must be able to attend all live judging rounds Saturday, February 16 - Must be 18 years or older to participate (with valid photo ID) - Body art is acceptable and preferred but not necessary - You are required to make your own arrangements (travel or otherwise). No expenses will be covered. - By registering for Skin Deep Virtual Betty and/or pre-registering for Miss Skin Deep 2013 you agree to release supplied photos and profile information to the DeltaPlex Arena and Conference Center for use on related Facebook pages and/or websites.

Name: ____________________________________________ Stage Name: _______________________________________ Mailing Address: ____________________________________ City: ___________________ State: ____ Zip: _____________ Phone: (_____) _____________________________________ Email Address: _____________________________________ Authorized Signature: __________________ Date: _________
* By signing above you agree to allow DeltaPlex and Skin Deep Body Art Expo to use all images for promotional purposes.

Miss Skin Deep

DeltaPlex Arena and Conference Center 2500 Turner NW, Grand Rapids, MI 49544 (616) 328-6668 fax (616) 559-8001 Jilian@deltaplex.com Chris@deltaplex.com For Office Use Only: Date received: _________Amount:________ Notes: ____________________________________ ____________________________________ ____________________________________

Payment
_____ Check enclosed (amount) $_______ (payable to DeltaPlex Arena) Credit Card Number (Visa, Master Card, Discover, American Express) _________________________________________________ Name as it appears on Card: ______________________________________Exp. Date: __________ Card Verification #: ___________ Mailing Address: ______________________________________________ Zip Code: ________________ Please charge my CC for the full amount______ Please charge my CC for the deposit with balance to be charged August 1st, ________

Card Holder Signature: ________________________________________________________Date: ________________