Interested in being a model for 417 Magazine or 417 Bride? We are always on the lookout for a variety of models, so whether you are young, old, male or female, we want to hear from you! Applicants must be at least 18 years of age, unless entered by a parent/guardian.

Please complete all fields:

First Name 
Last Name
Email Address
City of Residence (entrants must live in 417-land)
Address Line 1
City, State, Zip
Telephone Number
Age (entrants must be at least 18 years old)
Dress size
Pant size
Shoe size


Please submit up to 3 current photos, including at least one full-body photo.

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