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Wally Appearance Inquiry Form

Use the below form to inquire about a Wally appearance or experience.

Please note: Fields marked with an asterisk (*) are required.

What type of experience or appearance are you interested in?
Additional Notes / Comments:
Provide any more specifics about what you would like Wally to do at your event. Limit 3000 characters.

Your Information:
* First Name * Last Name
Company Name Contact's Name
* Address Address 2
* City * State/Province
* Zip/Postal Code * Country
Day Phone * Evening Phone
Mobile Phone
Enter your mobile phone information to receive text messages & updates from and (Optional, if checked, 'Mobile Phone' must be provided). Msg&Data Rates may Apply. Reply "Stop" to cancel. Text "Help" or email for assistance. Expect 1-2 messages per week.
* Birth Date
* E-mail Address
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