Name ________________ City ________________ Age ____
Gender _________ Enthnicity ________ Experience _______
Hair ________ Eyes ______ Height _______ Weight _____
Measuresment ___________ Cup _____ Shirt _______
Availablity
Promo ___ Fashion ___ Swimwear __ Lingerie ___ Figure __
Modeling for
Web ___ Ad's ___ Magazines ___ Shows & Events ___
Would you like a submission to
FHM ___ Maxim ___ Playboy ___ SG ___ GG ___
