Hardcorem Mayhem - Filth, Glamour, Mayhem

If you think you've got what it takes to become a part of Hardcore Mayhem, fill out this form and tell us why. Be sure to fill out as much information as possible. We will review each form. If we feel we can use you in one of our projects, we will contact you and make you the offer. Please be sure to upload at least one photo of yourself. Most of our projects require you to be at least 18 years of age so list your real information when filling out this form. We will ask for valid forms of identification, so be truthful or you will be deleted from our database.
This information is treated as confidential in nature and is not shared or distributed in any way by HXCM. This information supplied by you is for the specific use of HXCM its subsidiaries and staff. Duplication of the questionnaire or its contents is expressly forbidden.

Thank you and Good Luck,
-dro

First Name:

Last Name:

Alias or Stage Name(s):

Date of Birth:

Email Address:

Sex:

Upload Photos:

Image 1:	Image 2:

Image 3:	Image 4:

Street Address:

City:

State:

Zip Code:

Country:

Home Telephone:

Pager/Mobile Telephone:

Web/Home Page:

Referred by:

Height:

Weight:

Shoe Size:

Dress/Shirt Size:

Chest Size:

Waist:

Hips:

Ethnic Descent:

Hair Color:

Hair Length:

Eye Color:

Skin Tone:

Describe Tattoos and Locations:

Describe Body Piercings and Locations:

Modeling Experience:

Tell us something interesting about you: (hobbies, etc)

List your fashion/makeup experience:

Are you free to travel for modeling assignments? Any restrictions?

Check categories of modeling you are interested in: (check all the apply)

Trade for Prints	Glamour
Swim Wear	Fashion
Artistic Nude	Lingerie