Registration

Become MISS GALAXY® 2010 !

You are very beautiful and between 16 and 26 years old ? Then take the chance to become the official MISS GALAXY® beauty queen of your city, region, country and worldwide. Eligibility requirements: size XS/S/M, no pornographic pictures/movies.

Apply now and be part of MISS GALAXY® 2010:

	name:
	address: Postcode/city:
	Hometown: State/Country:
	citizenship/nationality, passport:
	mobile:
	e-mail:
	date of birth :
	profession
		freelance, pupil, student, apprentice, housewife, employee/officer, shift work
	education:
		secondary modern school, secondary school, a-level
	languages:
		english...
	body dimensions
	height:
	size:
	bra:
	bust size:
	waist:
	hip:
	size of shoe:
	weight in kg:
	tattoos, piercing:
	special skills, comments:
		(e.g. waitress, dancer, MISS XY and so on)
	conclusion
		I hereby insure that all data are absolutely true and that the enclosed pictures are current. *
		I agree that all my pictures upload in the internet. *
	File Upload
	jpg 1
	jpg 2
	jpg 3
	jpg 4
	jpg 5
	Security code
	Repeat security code *