To request members of the Indiana Pacemates dance team to appear at your event, please fax or mail the following information to:

Indiana Pacemates Att: Michelle Duggan

125 S. Pennsylvania Street

Indianapolis, IN 46204

Fax: (317) 917-2599

Name ______________________________________________

Company Name______________________________________

Address_____________________________________________

____________________________________________________

Phone & Fax_________________________________________

e-mail_______________________________________________

Event_______________________________________________

Date________________________________________________

Location_____________________________________________

Time Pacemates are needed (start & finish)__________________

Number of Pacemates requested__________________________

What will Pacemates be doing?___________________________

A minimum of two weeks notice prior to date of the event is required. Pacemates will commit to appearances depending upon dance member availability. Please contact Michelle for appearance fee and other information at (317)917-2500 or at mduggan@pacers.com.