Blain's Farm and Fleet

Submit Information

Please fill in the following form completely, and attach a recent full-length snapshot. Applications submitted without a large JPEG file (3" x 4" on screen size or more) or regular print by mail will be automatically deleted and not be considered for modeling.

Name:
Birthdate:
Phone:
E-mail:
Street Address:
City:
State:
Zip Code:
Availability:

Measurements:
Height: Waist:
Shirt: Hips:
Collar: Inseam:
Bust: Shoe:
Pant:


Blain's Farm & Fleet respects your privacy
Your contact information will never be given to other companies or
organizations. Read our Privacy Policy for more information.

Full-Length Snapshot:
REQUIRED - Must be at least a 3" x 4" JPEG file, otherwise your application may not be considered. Please contact modeling@farmandfleet.com if you have difficulty attaching a photo or wish to make other arrangements. Please ensure the file size of the photo is under 5 MB in size.


By submitting this form, I hereby authorize Blain Supply, Inc. and Blain's Farm & Fleet stores to use this information for any purpose, including but not limited to, promotional and advertising purposes. I further authorize Blain Supply, Inc and Blain's Farm and Fleet stores to use my name and/or picture in connection with this information for advertising or promotional purposes.

It may take up to a few minutes to process this form after clicking 'Submit', depending upon the size of the attached image file.

Prices were current at the time of posting. We reserve the right to change prices without notice and to correct errors.
VeriSign Secured - Click to Verify Find us on Facebook