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REQUEST FORM
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 PLAYER APPEARANCE REQUEST FORM
 Completion of this is a request only and does not guarantee an appearance.
 Please "SUBMIT" ONLINE or Print an return completed form to:
 Buffalo Bills Alumni, 68 Union Common, Amherst, NY 14221


 ORGANIZATION NAME:  

 ADDRESS:
 CITY, STATE, ZIP:
 COUNTY:
 PHONE:
 FAX:
 WEB SITE:
 CONTACT NAME:
 CONTACT PHONE:
 EVENT NAME:
 AUDIENCE SIZE:
 EVENT SPONSOR:
 APPEARANCE BUDGET:
 HONORARIUM:
 EVENT DATE / START TIME:
 EVENT LENGTH:
 EVENT LOCATION:
 EVENT ADDRESS:
 ON-SITE CONTACT NAME:
 ON-SITE CONTACT PHONE:
 EVENT DESCRIPTION:
 (DETAILED INFORMATION)

 RECOMMENDED ATTIRE:

 ARE FOOD AND
 BEVERAGES PROVIDED? :

 SPECIFIC DIRECTIONS:
 (http://www.mapquest.com)

ESTIMATED DRIVE TIME
FROM BUFFALO, NY 14221

 ADDITIONAL COMMENTS:

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