VIP SHOPPING EVENT

LAND of Distraction & Gladys Tamez

+ Please only complete this form if you will be in Los Angeles on August 18th from 12-2PM

+ You will receive an outfit from one of the designers at the event if chosen for the VIP portion of the event

+ Agentry PR will contact you directly if you are confirmed for the VIP event portion

+ This form does not guarantee your admission to the VIP portion of the event or your outfit.

+ If you are not confirmed for the VIP event time, you may still attend from 2-6 with the general public, please indicate below.

NAME

First Name

Last Name

EMAIL

SIZES

Phone

(###)

###

####

DO YOU LIVE OR WILL YOU BE IN LOS ANGELES ON SATURDAY AUGUST 18th?

WOULD YOU LIKE YOUR RSVP TO BE ADDED TO THE GENERAL ADMISSION RSVP FROM 2-6PM IF YOU ARE NOT SELECTED FOR THE VIP EVENT PORTION?

INSTAGRM URL

Please add www.instagram.com/username - other formats will not process and your registration will be overlooked.

http://