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    + Contact

    First name(s):

    Surname:

    Bookable from (main location, closest city):

    Bookable from (secondary location if available):

    E-Mail (private e-mail address):

    E-Mail Management (if represented by another agency):

    Mobile Number (using country calling code, e.g. for Germany: 0049-176-123456789):

    + Appearance

    Height (in cm):

    Dress Size (EU size):

    Shoes (EU size):

    Breast (in cm):

    Waist (in cm):

    Hips (in cm):

    Jeans (Width):

    Jeans (Length):

    Cup Size (e.g. 75B):

    Eye color:

    Hair color:

    Tattoos and/or Piercings (if so, where?):

    + Talents

    Languages:

    Sport:

    If so, which sports?

    Talents (apart from sports like music, acting, ...):

    + Social Media

    Instagram (User name):

    Youtube (Channel name):

    Influencer:

    + Details (only for agency bookers/scouts)

    Skin (neat hair not dry, etc.):

    Hair:

    Hand:

    Feet:

    Legs:

    + Personal Data

    Estimated Graduation Date if still in school
    (German date format dd.mm.yyyy, e.g. 01.01.2020):

    Date of Birth (German date format dd.mm.yyyy, e.g. 01.01.2000):

    Street, Number:

    ZIP Code:

    City:

    Country:

    Ethnos / Roots (if you have a multi-national background):

    + Payment

    BahnCard (if so, which one?):

    IBAN:

    BIC:

    Subject to turnover tax:

    TAX Number:

    VAT Number:

    + Personal ID

    Nationality:

    Country ID (last 4 digits of your passport number):

    Valid until (German date format dd.mm.yyyy, e.g. 01.01.2000):

    + Submit now

    Stephan M. Czaja
    Owner & CEO of COCAINE MODELS
    CXMXO Media Alliance