Registration

Become MISS GALAXY® 2010 ! You are very beautiful and between 16 and 28 years old ? Then take the chance to become the official MISS GALAXY® beauty queen of your city, region, country and worldwide.

Please send your application now by E-Mail here.

Apply now and be part of MISS GALAXY® 2010:

Eligibility requirements: size XS/S/M, no pornographic pictures/movies.
*All fields with the asterisk are mandatory.

name: *

address: *

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, french, spanish, italian, russian, german

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 *