Online Application


Before you can be registered with our agency we need to meet with you. We ask that you fill your details out below and we will contact you shortly to arrange a date and a time that suits you. If you would like to speak to one of our lovely staff please contact us directly on 0433 299 173

Step 1:
Name & Contact Details:

Name: (required)

Age: (required)

Email Address: (required)

Contact Number: (required)

Nationality: (required)

 
   
Location:  

State: (required)

Suburb: (required)

   
Gender:  

Gender: (required)

 
   
Physical Appearance:  

Eye Colour: (required)

Hair Colour: (required)

Height: (cm) (required)

Bust Size: (Cup) (required)

   
Position: Choose at least one (required)
Promotional Model Bikini / Lingerie Model / Waitress
Topless Waitress R-Rated Show Girl
X-Rated Show Girl Photographic Work for Men's Magazines
   
Photos: You can upload up to 4 photos. JPG/JPEG/BMP/GIF Only (Max size 20MB each) (required)
Photo 1: Photo 2:
Photo 3: Photo 4:
   
 
   

If you are having problems submitting this form, or would like to speak to one of our lovely staff please contact us directly on 0433 299 173.

Website by Raymond Korn

Copyright Mild2Wild Entertainment Group Pty Ltd © 2010. All Rights Reserved
Agency with the most exclusive Melbourne Strippers • Gold Coast Strippers