How can we reach you?

Home Phone

Cellular

E-Mail

Other

 A few more Questions

This form is designed for Adult Film Stars.
How many adult videos have you appeared in?

Movie Credits
(Please provide approx. 10 major film titles in which you appear.)

Magazine Credits

Radio/Other Credits

What is your base location/Home city?

Are you available for appointments there?

No	Available for In Call
	Available for Out Call

Are there any specific days/hours you cannot work?
If so, please list.


Are you available to travel in the U.S.?
Yes No
If yes, how soon are you available to travel?

Do you have a passport?
Yes No
How did you hear about us?

Were you referred by Someone?
Yes No
If ''Yes'' by whom?

Please provide a brief description of yourself and career to assist us with your online description and presence within our site.

Questions or Comments

You can e-mail your portfolio and/or pictures to sam@bodymiracle.com . It is imperative that your individual attachments and/or subject line include your stage name to ensure proper receipt with your application. (Individual emails should not exceed 15MB in overall size. Multiple emails are o.k.)

Please make sure you have completed this form entirely before submitting. Incomplete forms will not be processed.

                       Thank you.