Model Application
Full Legal Name (Confidential)
Model Alias (Required)
E-Mail
Age
Date of Birth
Physical Mailing Address
STREET ADDRESS PO BOX CITY, STATE, ZIP CODE, COUNTRY
Main Phone Number
Secondary Phone Number (If Applicable)
Gender
Female
Male
Eye Color
Hair Color (Natural)
Hair Color (Current)
Height
Weight
Measurement: Chest/Bust
Measurement: Waist
Measurement: Hips
Measurement: Inseam
Website URL
Myspace ID
Facebook URL
Other Site:
Yahoo Messenger ID (If Applicable)
MSN Messenger ID (If Applicable)
AOL Instant Messenger ID (If Applicable)
Myspace Messenger (If Applicable)
How May Purely Pinups Contact You?
Mail
Phone
Text Message (Phone)
Instant Messenger
E-Mail
Type of Sets You Wish To Apply For:
Non-Nude (Clothed, Bikini, etc)
Implied Nude (Teasing, Covered)
Partial Nude (Breasts/Derriere)
Full Nude (Complete Nudity)
Describe Design/Location of Any Tattoos
Describe Location of Any Piercings
Why You Want to Be a Pinup?
Where Did you Hear of Purely Pinups?
Are You Modeling for Other Sites?
If Yes, please list what sites/agencies and how long you've been modeling for them.
Do You Have a Photographer?
Yes
No
Do You Have Sets Ready to Submit?
Yes
No
Copyright and Terms of Service/Usage
I HAVE READ AND AGREE TO ALL TERMS.
I HAVE READ AND DO NOT AGREE.