Webcam Model Application

Full Name: Country: United States United States Afghanistan Albania Algeria Argentina Armenia Aruba Azerbaijan Antigua and Barbuda Australia Austria Bahamas Bangladesh Barbados Belgium-Flanders Belgium-Wallonia Belize Bermuda Bolivia Bosnia Brazil Bulgaria Canada Cayman Islands Chile China Colombia Costa Rica Croatia Cyprus Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Estonia Fiji Finland France Georgia Germany Ghana Gibraltar Greece Guatemala Guyana Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Japan Jamaica Jordan Kazakhstan Kenya kyrgyzstan Kuwait Latvia Lebanon Lithuania Luxembourg Macedonia Madagascar Malaysia Malta Mauritus Mexico Moldova Montenegro Morocco Netherlands Netherlands Antilles New Zealand Nicaragua Nigeria Norway Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Romania Russia Qatar Saint Lucia Saudi Arabia Serbia Singapore Slovakia Slovenia South Africa South Korea Spain Sri Lanka St. Vincent And The Grenadines Suriname Sweden Switzerland Taiwan Thailand Trinidad and Tobago Turkey Turks and Caicos Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam Address: City: State/Province: Zip/Postal Code: Phone Number: E-Mail Address: Instant Messenger: (optional) Stage Name:

* Any combination of letters and numbers from 4 to 15 characters long.

Password: Confirm Password:

* Must have at least 1 upper and 1 lower case letter, and at least 1 number.

Date of Birth: January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934

Gender/Type: Female (solo) Male (solo) Female and Male (couple) Female and Female(couple) Male and Male(couple) TS (M to F) TS (F to M) Shemale Group (3 or More) Ethnicity: White Black Hispanic Asian East Indian Native American Middle-Eastern Pacific Islander Mediterranean European Roma Sexuality: Straight Bisexual Lesbian Gay Body Type: Petite Thin Athletic Voluptuous Muscular BBW (Plus Size)

Language Spoken: (list all)

Please tell us how you would like to get paid by selecting your preferred payment method below. Direct deposit and check options are only available to U.S. residents at this time. Payments to models are sent weekly for the previous week worked.

Payment Method: Paxum Check (U.S. only) Direct Deposit (U.S. only) Skrill

Payment ID: (Email or Account ID)

Bank ABA # (9 digit routing number)

Bank Account # (checking or savings account)

Account Type: Checking Savings

* Direct deposit takes 5 days to appear in your account, and is NOT available for pre-paid debit cards.

* With Payoneer, once you have pending weekly earnings, we will issue you a link to Payoneer that you will use to link your card to us or apply for a new one. Once done and linked, you will simply email to let us know and we can issue payments. After the first time, you will receive regular payments as your account with us will be linked to your Payoneer account.

How many models will appear with you? 1 (Just Me) 2 3 4 5+

What type of account will this be? Solo Couple Solo and Couple

Partner's Stage Name: Partner's Email Address: Couple's Stage Name: Couple's Email Address: Since you are applying for an account where multiple models will appear at the same time, all other models appearing with you must also apply and be hired by us individually. If you have already applied as a solo model, please DO NOT apply again as a couple. Instead, email us so that we can manually add the other performer(s) to your account!

Other models appearing with you:

Please enter each model's stage name above separated by commas.

Are you interested in making videos? Please Select Yes - At Home By Myself Yes - At Studio By Myself Yes - At Studio With Other Models Yes - At Home Or Studio By Myself Yes - At Home Or Studio With Other Models No * At Studio shoots pay a minimum of $500 per video. If you do not select that option you will not be sent any casting calls. Have you ever done Internet modeling before? Yes No If answer above is "Yes", list experience:

Describe Yourself: Agent Code: 26181 How did you hear about us?

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