Application Form For:
Become Miss Import Website Model
Selected Beauty/Model

Please copy and fill out the whole application from the begin to the end.

------ Begin Application Form -------

Fist Name:
Last Name:
Middle Name:
Date of Birth:
Original Birth Place:
Nationality/Ethnicity:
Full or Mixed (indicate percents):
Languages speak:
Primary dialogues (home/out side):
Primary Email:
Alternate Email:

Address
Street: 
City: 
State: 
Zip code: 
Country: 

Home Phone:
Cell Phone:
Work Phone:

Yahoo Messenger:
Aim Messenger:
Face Book:
Myspace:
Photo Pages:
Official Website:

Physical Stats
Height:
Weight:
Color of Hair:
Color of Skin:
Color of Eyes:
Bust / Chest:
Waist:
Hips:
Suit / Dress Size:
Bikini Size: 
Shoes Size:
Jacket Size:
Tank Top Size:

Experiences (please list all)
Pageant(s):
Tittle(s):
Modeling/Fashion Show(s):

Additional information (if any we need to know):

Application photo and videos verification

* Do you have the right to all the photos and videos you sent us? (please answer Yes or No)
Answer:

If No on any picture, please indicate which pictures belong to the owner/organization:

**If the photos are copyrighted by any party please let us that you have the right to use them and you also have the written permission to use them. Also, list the names of the copyright holder.


Acknowledgement - I, the application have read and fully understand the nature of our website, organization, the requirements, rule/regulation, privacy statement, and the terms of services.

Sign (Your Full Name):

If you are under 18 please have your parents or guardians answer these question:

Do you give us the right to use your daughter/son to use his/her name, picture on our website, and others promotional material? (please answer Yes or No)

Answer:

Please indicate relationship (parent, uncle, etc...):

Guardian/Parents Sign (First, Last, Middle):

--------- End Application Form ----------

Please Send Your Application and Photos

At Least Five (5) or more professional/studio pictures for contestant's photo gallery. Your video if you have (optional).

Application Email: 

info@missimport.com

Subject: Become Miss Import Model

*You are responsible read and understand carefully the Rule and Regulation, Qualification, Required Document, Term of Services, Privacy Statement, our General Terms of Services and General Privacy Statement. Once you applied to us we assumed you already read and understand carefully prior to submission.