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Personal Details First Name: Last Name: E-mail Address (Your Primary Email): Address: Suite/Apt: City: State/Province: Outside US and Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Canada Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Country: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaidjan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian O. Terr. Brunei Darussalam Bulgaria Burkina Faso Burundi Buthan Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Chile China Christmas Island Cocos (Keeling) Isl. Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Czechoslovakia Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Falkland Isl.(Malvinas) Faroe Islands Fiji Finland France (European Ter.) France French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain (UK) Greece Greenland Grenada Guadeloupe (Fr.) Guam (US) Guatemala Guinea Bissau Guinea Guyana (Fr.) Guyana Haiti Heard & McDonald Isl. Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazachstan Kenya Kirgistan Kiribati Korea (North) Korea (South) Kuwait Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique (Fr.) Mauritania Mauritius Mexico Micronesia Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands Neutral Zone New Caledonia (Fr.) New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Isl. Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Polynesia (Fr.) Portugal Puerto Rico (US) Qatar Reunion (Fr.) Romania Russian Federation Rwanda Saint Lucia Samoa San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Korea Soviet Union Spain Sri Lanka St. Helena St. Pierre & Miquelon St. Tome and Principe St.Kitts Nevis Anguilla St.Vincent & Grenadine Sudan Suriname Svalbard & Jan Mayen Island Swaziland Sweden Switzerland Syria Tadjikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu US Minor outlying Isl. Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (British Island Virgin Islands (US) Wallis & Futuna Island Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe ZIP/Postal Code: Phone: Pager: Cell: Other: Personal Statistics Age: 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 Date of Birth: dd/mm/yy Gender: Female Male Chest/Bust (inches): 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Cup N/A A B C D DD DDD E EE EEE F FF FFF G GG GGG Waist (inches): 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Hips (inches): 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Height (inches): 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 Weight (lbs): 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140 145 150 155 160 165 170 175 180 185 190 195 200 205 210 215 220 225 230 235 240 245 250 255 260 265 270 275 280 285 290 295 300 305 310 315 320 Hair Color: Black Blonde Brown Grey Red Other Hair Length: Short Medium Shoulder Length Long Very Long Bald Eye Color: Black Blue Brown Green Hazel Other Skin Color: Black White Olive Tanned Other Shoe Size : 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 14+ Dress Size: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Ethnic Decent: African American Asian American Asian African Aboriginal Caucasian Eastern Block Hispanic India Middle Eastern Native American Polynesian Other Modeling Experience: No Experience Some Experience Experienced Very Experienced Advanced Work Availability and Skills YES NO YES NO Print Lingerie Runway Glamour Fashion Singer Sport/Fitness Voice Talent Casual Musician Swimwear Performance Hair Artistic Nude Parts Nude Fine Art Adult/Erotic Nude MUST BE 18 YEARS OR OLDER Travel: (How far are you willig to travel for photo shoots?) 30 Miles 60 Miles90 Miles 120 Miles180 Miles240 Miles (Additional travel comments): Other Skills and Talents: (List any Additional skills, talents, or features you have here): Additional Information Please select an additional style of modeling that best describes you: Regular Petite Plus Size Do you speak another language: Afrikaans Albanian Amharic Arabic Azerbaijani Basque Bengali Bielorussian Bosnian Bulgarian Cantonese Czech Danish Dutch English Estonian Faroese Filipino Finnish French German Greek Hebrew Hindi Hungarian Indonesian Icelandic Italian Japanese Javanese Korean Latin Latvian Lithuanian Macedonian Mandarin Malay Maltese Nepali Norwegian Persian Polish Portuguese Punjabi Romanian Russian Serbian Serbo-Croatian Sinhalese Slovak Slovenian Spanish(Castillian) Spanish(Catalan) Sundanese Swahili Swedish Tamil Thai Turkish Turkmen Ukrainian Uzbek Vietnamese Welsh Yiddish Zulu Afrikaans Albanian Amharic Arabic Azerbaijani Basque Bengali Bielorussian Bosnian Bulgarian Cantonese Czech Danish Dutch English Estonian Faroese Filipino Finnish French German Greek Hebrew Hindi Hungarian Indonesian Icelandic Italian Japanese Javanese Korean Latin Latvian Lithuanian Macedonian Mandarin Malay Maltese Nepali Norwegian Persian Polish Portuguese Punjabi Romanian Russian Serbian Serbo-Croatian Sinhalese Slovak Slovenian Spanish(Castillian) Spanish(Catalan) Sundanese Swahili Swedish Tamil Thai Turkish Turkmen Ukrainian Uzbek Vietnamese Welsh Yiddish Zulu Afrikaans Albanian Amharic Arabic Azerbaijani Basque Bengali Bielorussian Bosnian Bulgarian Cantonese Czech Danish Dutch English Estonian Faroese Filipino Finnish French German Greek Hebrew Hindi Hungarian Indonesian Icelandic Italian Japanese Javanese Korean Latin Latvian Lithuanian Macedonian Mandarin Malay Maltese Nepali Norwegian Persian Polish Portuguese Punjabi Romanian Russian Serbian Serbo-Croatian Sinhalese Slovak Slovenian Spanish(Castillian) Spanish(Catalan) Sundanese Swahili Swedish Tamil Thai Turkish Turkmen Ukrainian Uzbek Vietnamese Welsh Yiddish Zulu Other Factors: Braces Glasses Hearing Impaired Handicapped Personal Home Page URL (include http:// etc.): Other URL (myspace, facebook, etc.): Special Info (skin blemishes, tattoos etc): Descriptions and Comments General Comments: (Describe yourself, your goals, ambitions, hobbies, etc.) How did you hear about ModelReach.com?