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We Want Rexie!

Appearance Request Form

The following form is a guideline to assist you in having Rexie, the official mascot of Rex Healthcare, at your upcoming event. All requests must be submitted in this format and will be considered on an individual basis. Requests must be submitted at least two weeks prior to the event.

Please type information and click submit or print this form and fax to (919) 784-4551 , Attention: Rexie Request. Some items on this form may not pertain to your specific event.

All appearances are subject to availability and are considered on a first come, first served basis. All information below is required for processing.

All information is required.

Organization
Contact
Email
Address
City
State
Zip Code
Telephone
Fax

Event Name
Number of Attendees
Event Date
Event Address
City
State
Zip Code
Rexie's Arrival Time
Rexie's Departure Time
Event Contact
Name of Escort
Description of Event (include information on ages and number of participants and attendees)

External Links

Discovery Hospital