Modelnetwork / Bunker LA Unrepresented Talent Signup Form
Today's Date:
07/24/2008
(*All required fields are in Navy!)
Talent Contact Information
First Name*:
Address:
Last Name:
City:
Date of Birth (mm/dd/yyyy)*:
State:
Select if in USA
AL - Alabama
AK - Alaska
AS - American Samoa
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District of Columbia
FM - Federated States of Micronesia
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MH - Marshall Islands
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
MP - Northern Mariana Islands
NA - Not Applicable
OH - Ohio
OK - Oklahoma
OR - Oregon
PW - Palau
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VI - Virgin Islands
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Phone:
Postal Code:
Additional Phone:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Ter.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivorie
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea - Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea, Republic of
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Not Applicable
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Phillipines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent / Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard / Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futura Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Gender*:
----Select----
Female
Male
Availability:
----Select----
In Town
Out of Town
WeekDays
Weekends
About Me:
Talent Login Information
Email*:
Password*:
Credit Card Information
Type of Credit Card*:
American Express
Discover Card
Master Card
Visa
Credit Card Number*:
Name on Credit Card*:
Expiration Date*:
Month:
01
02
03
04
05
06
07
08
09
10
11
12
Year:
04
05
06
07
08
*Only fill out if the billing address is different than the model's contact information.
Billing Name:
Billing Address:
Billing Phone:
Billing City:
Billing State:
Select if in USA
AL - Alabama
AK - Alaska
AS - American Samoa
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District of Columbia
FM - Federated States of Micronesia
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MH - Marshall Islands
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
MP - Northern Mariana Islands
NA - Not Applicable
OH - Ohio
OK - Oklahoma
OR - Oregon
PW - Palau
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VI - Virgin Islands
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Billing Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Ter.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivorie
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea - Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea, Republic of
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Not Applicable
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Phillipines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent / Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard / Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futura Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Billing Zip Code:
Model Characteristics
Age:
----Select----
0-2
2-4
5-12
13-17
18-24
25-34
35-44
45-54
55-64
65-85
Ethnicity:
----Select----
African
African/American
Amer-Asian
Asian
Caribbean
Caucasian
East Indian
EuroAsian
Exotic
Filipino
Hispanic
Mediterranian
Middle Eastern
Multi-Racial
Native American
Nordic
Pacific Islands
Portuguese
Scandinavian
Sicilian
Spanish
Complexion:
----Select----
Brown
Dark
Fair
Freckles
Medium
Olive
Build:
----Select----
Athletic
Extra Large
Large
Lean Muscular
Medium
Muscular
Petite
Plus
Thin
Eye Color:
----Select----
Amber
Black
Blue
Blue/Green
Blue/Grey
Brown
Brown/Green
Dk. Blue
Dk. Brown
Gray
Green
Grey/Green
Hazel
Lt. Blue
Lt. Brown
Violet
Hair Color:
----Select----
Auburn
Bald
Black
Blonde
Brown
Dk. Blonde
Dk. Brown
Gray
Lt. Blonde
Lt. Brown
Platinum
Red
Salt & Pepper
Silver
Strawberry Blonde
White
Glove Size:
----Select----
6.5
7
7.25
7.5
8
8.5
8.75
9
9.5
10
Hat Size:
----Select----
6
6.25
6.5
6.75
7
7.25
7.5
7.75
8
Hair Style:
----Select----
Afro
Bald
Buzz Cut
Conservative
Curly
Dreadlocks
Long
Medium
Shaved
Short
Waist
Wavy
Height:
----Select----
3 ' 0
3 ' 1
3 ' 2
3 ' 3
3 ' 4
3 ' 5
3 ' 6
3 ' 7
3 ' 8
3 ' 9
3 ' 10
3 ' 11
4 ' 0
4 ' 1
4 ' 2
4 ' 3
4 ' 4
4 ' 5
4 ' 6
4 ' 7
4 ' 8
4 ' 9
4 ' 10
4 ' 11
5 ' 0
5 ' 0.5
5 ' 1
5 ' 1.5
5 ' 2
5 ' 2.5
5 ' 3
5 ' 3.5
5 ' 4
5 ' 4.5
5 ' 5
5 ' 5.5
5 ' 6
5 ' 6.5
5 ' 7
5 ' 7.5
5 ' 8
5 ' 8.5
5 ' 9
5 ' 9.5
5 ' 10
5 ' 10.5
5 ' 11
5 ' 11.5
6 ' 0
6 ' 0.5
6 ' 1
6 ' 1.5
6 ' 2
6 ' 2.5
6 ' 3
6 ' 3.5
6 ' 4
6 ' 4.5
6 ' 5
6 ' 5.5
6 ' 6
Ring Size:
----Select----
4
4.5
4.75
5
5.5
6
6.0
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
Boy's Size:
----Select----
0-3 mos.
10
10/12
10H
10S
12
12-18 mos.
12/14
12H
12S
14
14/16
14H
14S
16
16/18
16H
16S
18
18-24 mos.
18/20
18S
2
2/4
2T
3
3-6 mos.
3/4
3T
4
4/5
4S
4T
5
5/6
5S
6
6-9 mos.
6/7
6S
6X
7
7/8
7H
7S
8
8/10
8H
8S
9
9-12 mos.
9H
9S
Shoe Size:
----Select----
1
2
3
4
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12
12.5
13
13.5
Waist Size:
----Select----
19
19.5
20
20.5
21
21.5
22
22.5
23
23.5
24
24.5
25
25.5
26
26.5
27
27.5
28
28.5
29
29.5
30
30.5
31
31.5
32
32.5
33
33.5
34
34.5
35
35.5
36
36.5
37
37.5
38
38.5
39
39.5
40
40.5
41
41.5
42
42.5
43
43.5
44
44.5
45
45.5
46
46.5
47
47.5
48
48.5
49
49.5
50
50.5
51
51.5
52
52.5
53
53.5
54
Girl's Size
----Select----
0-3 mos.
10
10/12
10H
10S
12
12-18 mos.
12/14
12H
12S
14
14/16
14S
16
16/18
16H
16S
18
18-24 mos.
18/20
2
2/4
2T
3
3-6 mos.
3/4
3T
4
4/5
4T
5
5/6
6
6-9 mos.
6/7
6X
7
7/8
7H
7S
8
8/10
8H
8S
9
9-12 mos.
9H
9S
Weight:
Female Only
Male Only
Bust Size:
----Select----
28
28.5
29
29.5
30
30.5
31
31.5
32
32.5
33
33.5
34
34.5
35
35.5
36
36.5
37
37.5
38
38.5
39
39.5
40
40.5
41
41.5
42
42.5
43
43.5
44
44.5
45
45.5
46
46.5
47
47.5
48
48.5
49
49.5
50
50.5
51
51.5
52
52.5
53
53.5
54
Cup Size:
----Select----
A
B
B/C
C
D
DD
DD+
Inseam:
----Select----
29
30
31
32
33
34
35
36
37
38
39
40
Neck:
----Select----
14
14.5
15
15.5
16
16.5
17
17.5
18
Under 14
Dress Size:
----Select----
0
2
3
4
6
8
10
12
14
16
18
20
Hip Size:
----Select----
29
29.5
30
30.5
31
31.5
32
32.5
33
33.5
34
34.5
35
35.5
36
36.5
37
37.5
38
38.5
39
39.5
40
40.5
41
41.5
42
42.5
43
43.5
44
44.5
45
45.5
46
46.5
47
47.5
48
48.5
49
49.5
50
50.5
51
51.5
52
52.5
53
53.5
54
Shirt Size:
----Select----
30
31
32
33
34
35
36
37
38
39
Suit Size:
----Select----
38
38L
38S
39
39L
39S
40
40L
40S
41
41L
42
42L
42S
43
43L
44
44L
45
45L
46
46L
Over 46
Under 40
Categories
For multiple selections, hold down the CTRL key (PC) or Apple key (MAC) and select the categories you want.
Model Types:
Babies
Body
Catalog
Commercial
Editorial
Facial Features
Fashion
Feet
Fitness
Hair
Hands
Kids
Legs
Lifestyle
Lingerie
Nude
Parts
Petite
Plus
Print
Promotion
Real People
Runway
Spokesmodel
Swimwear
Teen
Tradeshows
Actor Types:
Anchor/Broadcaster
Aspiring
Celebrity
Character
Child
Comedy
Commercial
Dancer
Drama
Earprompter
Entertainer
Extra
Feature/Film
Impressionist
Industrial/Corporate
Infomercial
Musical
Radio Host
Spokesperson
T.V. Host
Television
Theatre
Video
Voice On Camera
Voice Over
Dance:
Ballet
Ballroom
Belly
Break
Clogging
Club
Flamenco
Folk
Funk
Hip Hop
Indian
Irish Step
Jazz
Line
Merengue
Modern
Salsa
Square
Swing
Tango
Tap
Two-Step
Musical Talents:
Bass
Brass
Cello
Clarinet
D.J.
Flute
Guitar
Harmonica
Percussion
Piano
Saxaphone
Singer
Song Writer
Strings
Trombone
Trumpet
Viola
Violin
Woodwind
Accents:
African
Asian
Australian
Brazilian
Brooklyn
Canadian
Cantonese
Caribbean
Cockney
Croatian
Cuban
English
Ethiopian
French
French Canadian
German
Greek
Indian
Irish
Italian
Long Island (NY)
Middle Eastern
Midwest
New England
New York
Polish
Puerto Rican
Romanian
Russian
Scottish
South African
Southern
Spanish
Swedish
Turkish
Valley
West African
Yiddish
Languages:
Afrikaans
Arabic
Armenian
ASL
Assyrian
Bosnian
Bulgarian
Cambodian
Cantonese
Chinese
Creole
Croatian
Czech
Dutch
English (UK)
English (US)
Estonian
Farsi
Filipino
Finnish
French
German
Greek
Hebrew
Hindhi
Hungarian
Indonesian
Italian
Japanese
Korean
Latin
Lithuanian
Mandarin
Norwegian
Persian
Polish
Portuguese
Romanian
Russian
Serbian
Slovenian
Spanish
Swahili
Swedish
Tagalog
Thai
Turkish
Vietnamese
Sports:
Aerobics
Archery
Baseball
Basketball
Bicycle
Billiards
BMX Racing
Body Builder
Bowling
Boxing
Bullriding
Cheerleader
Chess
Clown
Coaching
Crew
Driving-Auto
Driving-Boat
Driving-Stick
Fencing
Football
Frisbee
Golf
Gymnastics
Hang Gliding
Hockey
Horseback
Ice Skate
Jet Ski
Juggle
Kayak
Kickboxing
Lacrosse
Magic
Martial Arts
Mime
Moto Cross
Motorcycle
Mountain Biking
Pilot
Ping-pong
Raquetball
Rock Climbing
Roller Blade
Roller Skate
Rugby
Sail
Scootering
Scuba (Certified)
Skate Board
Skydive
Snorkle
Snow Board
Snow Ski
Soccer
Softball
Squash
Stage Combat
Stilts
Stunt
Surf
Swim
Tennis
Track & Field
Triatholon
Unicycle
Volleyball
Wakeboard
Water Ski
Weights
Windsurf
Wrestling
Yoga
Special Features:
Beard
Birthmark
Braces
Goatee
Look Alike
Moles
Mustache
Piercings
Scars
Tattoos
Twins
Unions:
AEA
AFTRA
Equity
Financial Core
S.A.G.
Disabilities:
Braces
Dentures
Disabled
Glasses
Objections:
Alcohol
Furs
Lingerie
Nudity
Swimsuits
Tobacco
sm
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