Shamrock Models
CONFIDENTIAL ON-LINE SIGNUP FORM
PERSONAL INFORMATION (CONFIDENTIAL)
RED items indicate information that is NOT published or released to anyone!!
* indicates REQUIRED information
* Real First, MI, and Last Name:
* Sex:
* Mailing Address (Line 1):
  Mailing Address (Line 2):
* City:
* Province or State:
*Zip/Postal Code:
* Country
  If Other Country:
* Phone Number:
* E-Mail Address:

MODEL/ACTOR PAGE INFORMATION

* Name/Alias On Web Page:
* Date Of Birth (MM/DD/YY): Only your AGE will appear
* Height: feet/inches
* Weight: pounds
* Hair Color:
* Eye Color:
Measurements: optional for FEMALE models
Dress Size: (FEMALE models)
Shoe Size: (FEMALE models)
Shirt/Pants Size: (MALE models)
Type Of Page:
Model Specialty (max - 4): (sport, swimsuit, runway, etc)
Model Experience:
Acting Specialty: (max - 4): (stage, commercials, soap, drama, etc)
Acting Experience:
Photos Submitted:
Photos Submitted By:
Audio Clip Submitted?:
Audio Clip Submitted By:

CONTACT INFORMATION
There is no need to fill in blanks if you select Shamrock Models as the contact

Interested parties should contact: via 
Contact Name:
Contact E-Mail:
Contact Number
or Address:
My web page, at Shamrock Models, should include a link 
to my "official" web site at this URL:
http://
A link to an exisiting web site is NOT required. 
If you DO NOT have one and are INTERESTED in setting up 
your own web site, please let us know by selecting an option below: 
I do NOT have a web site and 

I HAVE READ THE POLICY STATEMENT AND AGREE TO THE TERMS

REMARKS