Dark Romance - Model Query

an invocation of the sensually gothic

Model Query

Please fill this form out completely.
[incomplete submissions will not be considered]
If we feel you might be a good fit we will contact you via email,
providing you with an address you can send your pictures to.

Your information will be kept strictly confidential!

Gender:

male female

First Name:

Last Name:

Phone:

- -

Birthday:

- - [MM - DD - YY]

Street Address:

City:

State/Province:

Zip:

Country:

Have you
modeled before?

yes no

Are you seeking
respresentation?

yes no

Do you currently
have a photo set?

yes no

Are you featured on another site?

yes no

Email:

Your message:
Plplease enter your message at right .

Please make sure you have correctly entered your info above.
After clicking the submit button below, you will receive a confirmation email. If you do not receive one, it is because you have mis-typed your email address. If this happens, simply return to our site and click "model for darkromance" again. Your information will not be shared with anyone. It is solely used for the purposes of communicating with you about our site, events and your concerns.

Privacy Policy: We do not, nor will we ever, use your email address or other provided information for purposes other than communicating the content and events of this site. Further, we will never sell our mailing lists to any other advertiser. All email sent will be strictly BCC'd. Any and all requests to be removed from our mailing list will be honored immediately.

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This site and all content is Copyright ©2007 Dark Romance Media. All rights reserved.
Individual artists and writers maintain copyright to their own work unless otherwise noted.
DarkRomance, Dark Romance and the script logo are Registered Trademarks, ® pertaining to all on and offline publishing.
Any usage of these trademarks for publishing, without permission will be subject to appropriate licensing fees and termination.