Model Gothic -  Dark Legion 
Membership Application Form 
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Model Gothic Prod.  123 Pine  St.Colingdale,Pa.19023. USA
Email Address - dark_magician692000@yahoo.com
Business { Email Address } badudecomix@hotmail.com

General Inf.
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John P.Turnbull - Model Gothic CEO.
Lisa Fink - Vice President
Cyndie Mist - Co.President
Justin Fink - Assisting Manager
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*Please Fill In The Desired Information Please -
Section A. { Info. For Further Contact )
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1.) Full Name:__________________________________
2.) Home Address:______________________________
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3.) Email Address:______________________________
4.) Age:_______________________________________
5.) Occupation:_________________________________
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Section B. { Career Information )
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1.) Recent Proffession Held:______________________________
      a.) How Many Years Held {In That Profession} :_____________
2.) Company Worked For:_______________________________
      a.) For How Many Years :_____________
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Section C. { What could you offer Model Gothic} Please Check a Desired Selection
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 Modeling
 Photography
 Cartooning
 Graphic Designing
 Illustration
 Other - _____________________________________
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Section D. { Questionare)
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1.) As a Member of Model Gothic - What have you thought of our Production Homesite?
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2.) Do you have any Ideas that can be added to Model Gothic?___________________
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* This Form must be copied by a printer -
* After filling out the desired info, please address your printed copy to the Model Gothic 
   adress above.

* Before Mailing this form -
    Your Monthly Membership is $12.00,that must be included.To be joined as a member.
    Please include your paymemnt with this Application when mailing.Only then as a 
    Member - will you be optional for our upcoming premium values.
** ( Please don't send checks - Money orders are exceptable,Thank You.)
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   * Member Signature: ________________________________

     ( This Form Recently Updated March 24,2004)