Please Print this form, fill it out and mail to:



Preeminent Models                                                                              Date_______________                                            
PO Box 1931
Birmingham Al 35203





Basic Info

Name_____________________________________

Model Name_______________________________

Ph#______________________ Email_____________________________

Street Address_______________________________________

City________________________ State_____ Zip Code_________




Measurements:

Height____ Weight_____ Bust______ Waist_____ Hips_____ Dress______

Shirt______ Pants______ Shoe______ Hair length______ Hair color______

Eye color______ Race____________________



Credentials/Model Experience








25.00 non-refundable registration fee. Accepting money orders or checks.
Make payable to: Preeminent Models.