Name: ___________________________________________
Address: _________________________________________
Zip Code: _________
Telephone #:_________________________
PLEASE CHECK ONE:
___Model ___Fashion Designer ___Hair Stylist
Email Address: __________________________
*Please make sure this information is correct, so we can mail your photo CD*
$75 DEPOSIT due Feb. 1st
FINAL payment due Mar. 5th
*CASH PAYMENTS ONLY*
Thank you for participating and we will contact you in the future!