---

Thank you for your interest in working with me. Please fill out the form below as completely as possible. Do not forget to include an e-mail address, or a phone number that I can contact you at. If possible please include a link to your online portfolio.

I work on a time for print bases or for an hourly fee and I will pay a negotiable rate for your time. Models will need to sign a limited release. I work out of northern New Jersey, USA, and I will travel a reasonable distance to work with a model.

If you will be in the area and are interested in working with me, please fill out the form below. For more information about me and my work check out my gallery and my Model Information Page If you have any questions please include them in the comments section of the form.

---

Model Contact & Location Info
Name: (Required)
Email: (Required)
Phone:
City:
State:
Online Portfolio Address:
Personal Stats
Age:
Height:
Weight:
Bust:
Waist:
Hips:

Any tattoos or body piercings?
Yes
No

If "Yes," please describe the modification(s):


Type of modeling your interested in
Portrait
Fashion
Lingerie (18 or older, ONLY)
Artistic Nude (18 or older, ONLY)
Body Parts
Other Please specify


Payment Rate You'd Expect for Posing?
$ /hour or $ /day

Additional or personal information you'd like to provide?


Any questions or comments?

---