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PROOF OF RESIDENCY Miss & Teen Jax USA Pageant - Pageant Date: 3/6/11 Paperwork/Requirements Deadline: February 6, 2011 To the NFSO, Inc. and the Miss & Teen Jax USA Pageants: By executing this letter in the space provided below, I hereby acknowledge and agree that I understand and have fully complied with all eligibility requirements for participation in the MISS FLORIDA USAŽ Pageant as set forth in my Preliminary Entry Form for participation in my Preliminary Pageant which is preliminary to the MISS FLORIDA USAŽ Pageant including, but not limited to, the residency requirements. Furthermore, I hereby agree that if my eligibility is questioned for any reason and a request is made by you and/or Tel-Air Interests, Inc. and Miss Universe L.P., LLLP to furnish documentation verifying my eligibility, I shall be ready, willing and able to furnish supporting documentation (e.g., birth certificate; drives license; voter's registration card; income tax return(s); current credit card, magazine subscription, telephone, electric, medical bills, rent receipts or other current invoices verifying my place of residence; automobile registration, verification from college or business, etc.) establishing proof of my permanent and primary residence during the period at issue. If requested, I shall also agree to sign an Affidavit attesting to such verification of eligibility under oath. I further acknowledge and agree that the decision of any Preliminary Director and/or Tel-Air Interests, Inc. as to my eligibility to participate in my Preliminary Pageant and/or the MISS FLORIDA USAŽ Pageant shall be final and binding.
Entrant's Official Home Address and Telephone Number: ____________________________________________________________________ ____________________________________________________________________
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