BlackListed Request Form
Thank you for your interest in requesting BlackListed: The National Performance Team of Sigma Lambda Upsilon for your upcoming performance.

This request form will ensure all requests are handled in a timely manner.

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Chapter requesting BlackListed: *
What is the current status of your chapter? *
Point of Contact *
Full Name
Email Address: *
Preferred Number: *
Format: (123) 456-7891
Name of Event: *
Event Location: *
Please provide full address.
Date of Event *
Time of Event *
Type of Performance *
Prize Money Amount
If applicable.
Additional Information (please email contract to if available).
Would your chapter be able to book space for the team to rehearse in? *
How much will your chapter or region donate to BlackListed's journey for the respective performance? *
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