Your information is kept private and confidential by EPUSA, INC.

Full Name

 

 

 

EPUSAINC@HOTMAIL.COM

SUBMIT PHOTOS VIA EMAIL

 

            

 

IF YOU RECEIVE AN ERROR MESSAGE AFTER TRYING TO SUBMIT...

 

Type the answers to the application in an email and send (along with your photos) to epusainc@hotmail.com. Thank you!

Stage Name

 

E-mail

 

Phone

  Home # Cell #

Age

     Date of Birth

Address

 

City

     State     Zip

Weight

     Height

Bust

     Waist-Hips

Hair Color

     Eye Color

Ethnicity

 

Marital Status

 

Current Employer

 

  Nudity OK?

 

  Select your specific interest:

 

 

  What experience do you have (credits, awards), if any?

 

 

  How did you find out about EPUSA, INC.?

 

 

  Comments and questions? Are you under contract?

 

 

  Your Website, Myspace, or Facebook URL, etc.?