Shamrock Models - Sign Up Form

Shamrock Models
CONFIDENTIAL ON-LINE SIGNUP FORM

This offer is for legitimate models and actors to display a small portfolio and brief bio about you, and your work. There is a ONE-TIME set-up fee of $25.00 (USD) for this service and an annual renewal of $12.00 (USD). Additional fees may be required as indicated below:

You must provide quality photos in a digital format (.gif, ,jpg, .tif, etc). If we have to scan photos, the first one is FREE, with a $5.00 (USD) fee per photo for the rest. We require a minimum of three (3) photos, but you may have up to five (5) on the page. We will select one photo to crop down to a head shot, for the main page "box", unless you specify one to be used. You must provide return postage with photos if you wish to have them sent back. ALL SUBMITTED PHOTOS MUST MEET COPYRIGHT STIPULATIONS IN THE POLICY STATEMENT.
We can provide an audio clip, with your voice, if you wish to have it appear on your page. The clip must be broadcast quality audio, in digital format (.wav, .ra, .rm, .au), and no longer than 60 seconds. If we have to transfer an audio clip to digital format from tape, the charge is $10.00 (USD). Audio must be provided on standard audio tape cassette. Include return postage, if you wish to have the cassette sent back.
Design of each page is standard layout, as shown with existing models on this site. Fees for any special requests, such as graphics, logos, backgrounds, etc. will be provided by e-mailing models@shopaugusta.com.

We accept Discover, MasterCard, and VISA. Mailed photos and audio clips must be sent to Shamrock Creations, P.O. Box 5873, Augusta, GA 30916-5873, USA. By submitting the form below, you agree to the policies under which we agree to provide this web page.

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