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On Line Model Application

Items Marked * are optional.  NOTE you must be 18 or older to submit this application.

Name:       Alias/Nickname: 

Address*:    City:   State:    Zip: 

Home Phone*: Msg/Cell Phone: E-mail:

Website (If any): 


Date of Birth: Height: Weight: Eyes:  

Length: Complexion:

Bust: Waist: Hips: Dress Size: (Enter Small, Med., etc.)

Yes No.   If Yes Describe Below

Tattoo/piercing Location and description:

Travel: Yes No Maximum Distance (Miles):
Days Available:



Amateur Advanced Amateur Semi Professional Professional

Types of Assignments Accepted (Check all that apply)

Paid Only Time for Prints (TFP) Depends on Assignment Commercial Only

Types of Modeling You Will Do: (Check all that apply)

Print Fashion Casual Swimwear Lingerie Implied Nude
Semi Nude/Topless Figure Nude Artistic Nude Glamour Nude (Playboy Style)

Please go to "Contact Me" and click on the email address to submit 3 photos,
as attachments with subject line - 'Application Photos'