MISS VIVA LAS VEGAS APPLICATION

Please note: all fields are required

Stage Name:
Legal Name:
Email:
Website(s):
City/State/Country you want listed for promo:
Bio (1000 words or less):
CHARITIES WORKED WITH:
HOBBIES:
COMPANIES MODELED FOR:
PREVIOUS PIN UP CONTEST WINS:
WHY SHOULD YOU WIN (1000 words or less):

Type the two words:

ATTACH NO MORE THAN TWO LOW-RES PHOTOS