MIss Earth Australia - caring for the environment
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We acknowledge your agreement to our Terms and Conditions. You may now proceed in completing below registration form.

Please note:

1. After submitting your registration, you will be redirected to our homepage.

2. To enable us to proceed with the processing of your application, kindly email a photo of yourself to missearth2008@missearthaustralia.com.au. Please send only one photo, preferably in JPEG format, with no more than 300kb in file size.

3. We will forward to you instructions on how to submit additional material including photographs, etc. If your entry as a contestant to the pageant is accepted, you will receive an email from us confirming your acceptance.

Feel free to contact us if you need more information.

Thanks for applying.


First Name: 
Last Name: 
Middle Initial: 
Street Address: 
City: 
State / Territory: 
Postcode: 
Occupation: 
Work phone (pls include Area code): 
Home phone (pls include Area code):
 
Email address: 
Email address (again): 
 
Your MySpace page(if you have one): 
Your Facebook page(if you have one): 
Other personal or modeling profile pages(MM, StarNow, OzModels, etc.): 
Date of Birth (dd/mm/yyyy): 
All measurements should be in inches.
Height (e.g., 5'8 - 5'11): 
Weight (e.g., 50 - 55 kg): 
Bust (e.g., 32 to 24, cup A, B, or C): 
Waist (e.g. 25" in): 
Hips (e.g., 35" in): 
Shoe size (e.g., 5 - 10): 
Swimsuit size: 
Hair: 
Eye color: 
What do you think is the biggest problem our environment faces today? Please specify:
Please indicate any allergies or minor ailments you may be suffering from:
Are you currently taking any medication? Please specify:
How you learned about Miss Earth Australia: 



 



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