*Name:

Alias:

*E-mail Address:

Web Site:

Phone Number: (If you are represented by an agency, you may put their phone number here.)

Address: (If you are represented by an agency, you may put their address on the first line. Put YOUR city and state in the following fields.)

*City  *State

*Birthday and Age (you must be over 18):

*List and describe any Piercings, Tattoos, Birthmarks or large scars that would show in a thong bikini:

Other Experience:

*Projects I would like to be considered for:
All
Current:
Women in Waders TM
Women in Chaps TM (Thong bikini Required)
Guns and Camo TM (Thong bikini Required)
Babes and Billiards TM
Lady Luck TM

Please consider me for spokesmodeling at events

If you live outside of the Western Oregon Area, please list dates you will be in Eugene. If Reel Fish is traveling to your area, please list the dates you are available during our stay.

Comments: