W&HM Official Application Form
To be considered for a print or on-line feature, please provide the following information. We will review your submission shortly. If you are selected we will follow up with you soon.
Email address *
Public Name *
Instagram Name *
Phone number (Optional)
Your Location; Can You Come to Los Angeles (Yes, No, Maybe)
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Wheels And Heels Magazine.