On-Line Model Application

Model Application
Magazine Submission Contact Form
First Name:
Last Name:
Address:
Address:
City:
State:
Zip:

Home Phone:
Work Phone:
Cell Phone:
E Mail:
Best Time to Contact You

Age:
Date of Birth:
Height: ft.inches (eg: Enter 5.2 NOT 5'2")
          Weight: lbs
Shoe Size:
Dress Size:

                         Bust/Cup: inches/cup size
           Waist: inches
             Hips: inches

Hair Color:
Hair Length:
Eye Color:
Skin Color:
Ethnic Descent:
Describe Any Tattoos:
Describe Any Body Piercing:

List any Cosmetic Surgery (Including Breast Augmentation):

Describe your Best Features:

General Comments: Describe yourself and interests. List hobbies, activities
and interesting comments about yourself:

List the name and phone number of one person
who can always find you

Your URL: If you have a Web Page with your photos enter the full
path including the http:// etc.

REQUIRED: Your E-Mail Address:

Manager's E-Mail Address: If you have an agent or manager please list their e-mail address here.
If you are self represented, please use your own e-mail address here also.

PHOTOS should be sent along
with your application. If you have photos on your
computer, follow the instructions below to submit them now.

If you listed a URL web address above that contains photos
you may disregard this step and finish completing the application.

.
Click Here To Send JPEG (or GIF) Photos via EMAIL.
You may submit up to 5 photos along with your application.
Additional photos may be required if you are accepted.