Form

STARFORUM TALK TO AGENT HOTLINE

• First Name

• Last Name

• Telephone • Fax

• Email

• Gender • Age

Briefly tell us what would you like to discuss with the agent

Select the date and time that you would like the agent to call. Please be aware of West coast - East coast time difference. Our Agents are able to call 10am to 10pm Eastern Standard time.

First choice: Date Time

Second choice: Date Time

Submit your picture file ( to attach your picture click BROWSE )

optional

Maximum size of 250KB per file.

•Briefly explain your modeling or acting experience (optional).

If you are referred by Talent Consultant, please enter your Consultant code here (It could be found on front of your Talent Consultant card)

	I’m paying $85 by credit card online
	I’ll send $85 check or money order and “talk to agent” session request form by mail

Please click on the -SEND- button only once.
You will receive confirmation of your order immediately.
You may also fax this form, 24 hours a day, 7 days a week,
to 1-646-349-2180