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Please complete ALL of the information below to apply for this year's pageant.

First Name: Last Name:
Street Address:
City: State:
ZIP Code:
Date of Birth :
Age:
Phone Number: Cell Phone:
Business Phone:    
Occupation:
Eye Color:
Email Address:
Hair Color:
Height:
Dress Size:
Favorite Foods:
Shoe Size:
Honors and Awards:
Ambition:
Education:
Hobbies:
Talent, if any:
State Director:
AGE DIVISIONS:
: Pre-Teen "New Division"
: Junior Teen
: Teen
: Miss
: Woman
Parent's Name(s):
Street Address:
City: State:
ZIP Code:

ENTRY FEE:
Fees:
$595.00 – Total Entry Fee
$195 – Entry Fee Deposit
$400 – Entry Fee Balance Payment 
$75 – Full Page Ad


Simply call in your credit card payment to: (917) 541-6739

OR Pay Fees with PayPal

New York & New Jersey State Director: Shiemicka Richardson-Banner

director@nynjperfectpageants.com

I hereby apply as an entrant in the state of:
An official preliminary to World’s Perfect Modeling Competition

Applicant's Name:

Parent or Guardian's Name: (if applicant is under 21)

Enter Security Code:

OR DOWNLOAD AN APPLICATION

 


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