meLVin Appearance Request Form - Lehigh Valley Phantoms

Are you interested in booking meLVin for your event? Please complete the form below, and our team will contact you to confirm meLVin’s availability. Be sure to fill out all required fields and include any relevant additional information. Please note that certain appearances may be subject to a fee.

Name*
First Last
Email*
Phone*
Event Date*
MM slash DD slash YYYY
Appearance Start Time*

: Hours

Minutes

AM/PM
Length of Appearance*
- 30 Minutes
Organization Name*
Event Name*
Event Description & meLVin's Role*
Event Address*
Street Address Address Line 2 City State ZIP Code
Parking Information*
Required Changing Area Details*
Please explain changing rooms (Example: Private office, conference room, locker room, etc. Please no restrooms.)
On-Site Contact Name*
On-Site Contact Number*
Additional Information or Requests