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entry form


Once you have typed in all information, please PRINT OUT this completed form and MAIL IT along with your entry photo

Mail to: Photography by Don Stachowiak, 6525 Bricktown Ci.,Glen Burnie, MD 21061

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
Date of birth
Sex Male Female
Height
Weight
Hair color
Eye color

Tell us something about yourself! Are you an actor, singer, dancer, or model? Any past experience? Let us know!

Signature (If under 18, parent or guardian must sign)

________________________________


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  • Copyright 1998 by Don Stachowiak
    Last revised: April 13, 2004