Miss Africa USA Application Form
Want to be the next Miss Africa USA? Fill out this form so you can become a contestant in the running to represent your country in the next Miss Africa USA Pageant
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First Name
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Last Name
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Address 1
Address 2
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City
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State
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Postal Code
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Phone
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Email Address
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Your Height
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Your Weight
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Your Date Of Birth
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African Country You Want To Represent
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Where did you find out about the Miss Africa USA Pageant?
Email/Newspaper advertisement
Flyer or poster
Friend or family
Personal inquiry
Myspace/Facebook advertisement
Miss Africa USA website
Contact from Carmen G
Contact from AfroHeartBeat
Contact from Harold/H Greaves Photography
Other
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Reference #1 Name
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Reference #1 Phone
Reference #2 Name
Reference #2 Phone
Brief Description of Yourself
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Your Photo #1
Your Photo #2
Your Photo #3
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Indicates Response Required