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Your name *
Your age *
Email *
Telephone / Cell number *
skype number
Best time to call your parent/guardian if under 18 *
What country do you live in? (If USA, please tell us state and city) *
Do you need any help getting a work permit for the U.S. ?
What are your talents? *
Would you be willing to pay for us to get you an agent NOW? *
Would you be interested in some of these additional services? *
(1 on 1)  = online instruction
Would you be interested in getting star treatment now? *
($) = there is a fee involved
What languages do you speak? *
Have you made a profile on any acting websites? (include links below) *
What is your facebook page? (include any Fan pages) *
Have you made any youtube videos of yourself? (include links below) *
Do you have any additional questions or notes to tell us? *
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