BongManBabes Form

I am 18 years old or older*

First Name*

Last Name*

Your Email Address*

Your Phone Number*

Mailing address*

Mailing Address99999 characters remaining

If asked I would describe my Body type as? (example:Curvey, Petite,etc.)*

Have you modeled before?*

Yes

No

What kind of music do you prefer?*

Would you be ok doing a live appearance now and then to represent the BongManbabes?*

YES

NO

Are you ok with possibly posing with items affiliated with BongMan.com?*

YES

NO

Are you willing to support live bands and appear onstage to dance etc.?*

Yes

No

Do you have your servers license and able to serve Alchohol?*

YES

NO

Reasons I would like to be a BongManbabe?*

Comments99999 characters remaining

If you decide to partake in any live events will you be expected to maintain a professional attitude and represent yourself as such is this ok with you?*

Yes

No

There will be a one time fee of $50 which will be charged to you upon approval of you becoming a BongManBabe and first photoshoot, will this be ok with you?*

Yes

No

Electronic Signature (Your electronic signature should match your full name.)*