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Your Name(Required)

First Last

Email(Required)

Mobile Phone(Required)

Your region

Social Media handles

Business logo

Accepted file types: jpg, jpeg, png, gif, Max. file size: 8 MB.

Required for promotional purposes.

Charity logo

Accepted file types: jpg, jpeg, png, gif, Max. file size: 8 MB.

Required for promotional purposes.

Headshot picture

Accepted file types: jpg, jpeg, png, gif, Max. file size: 8 MB.

Required. Please upload a headshot picture of yourself.

GDPR Opt-In

I opt-in to details being shared with individuals/businesses involved in FB. You and your business being promoted as part of FB marketing

Personal details

Please complete the following as applicable (obviously all details will be kept confidential).

Date of birth(Required)

Dress size

Chest size

Dress size (other)

Chest size (other)

Collar size (guys only)

Shoe size

Inside leg measurement (guys only)

Waist

Favourite colours

Least favourite colours

Favourite designer brands

Personal comments

Company details

Business Name

Position / Job Title

Address

Street Address Address Line 2 City ZIP / Postal Code

Telephone

Website

Contact name(Required)

First Last

Person responsible for booking tables/tickets for the event, either your manager, marketing dept., director etc.

Confirmation(Required)

Confirm your submission

By signing this form I give my consent to the use of my personal details by Lisa Darwin as well as being included in all media coverage as applicable. I take full responsibility for my well-being (Health & Safety) and personal belongings on the day & night of the event as well as ensuring the clothing I wear by the fashion brands are returned by me in good/same condition as given.

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