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Order by phone 1-800-210-2370

Modeling Application Form

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.


JPEG format required, at least 3" x 4", 5 MB max.

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.

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

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