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If you experience any difficulties, please email your response to this form to:
host@nationalbikinicontest.com.

Do you have to travel over 250 miles for this contest?
If so mail or call our select committee.
Many of our sponser's are subsidizing travel right now !

Please note: You will be required to mail us a current photo, which will be non-returnable.
Please fill in all fields on the following form completely!
Contact Information
ALL FIELDS ARE REQUIRED!
Name:*
Address:*
City:*
State:*
Zip:*
Day Phone:*
Evening Phone:*
E-Mail Address:*
Personal Information
Birth Date:
Eye Color:
 Hair Color:
Height:
 Weight:

Please Answer the following Questions:

What do you do for fun?

Describe your ideal man:

What's your ideal vacation?

What's the most outrageous thing you've ever done?

Is there anything interesting or unique about yourself?