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Wanda Dorn, CEO
Model of the Year
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Book Model(s) Request Form
T
o book models — complete this form
We will forward a detailed information packet
Book Model Request Breadown Form: Your Contact Information
Contact Person:
* required
Title:
Email:
* required
Company:
Mailing address:
(optional)
Request information on:
Brief description of
your request
(Appearance/activity, etc.)
we are requesting a "Spokes Model"
1 - 5
6 - 10
11 - 15
More
Number of models needed
Phone:
(optional)
Best contact:
Email
Mail
Phone
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ack to "Spokes Model" page
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Before I submit, I have a question.
Leave email address and question here
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* required
Question:
Contact me by phone (optional)
