MB26 entry form

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Mr & Miss Benoni — Entry Form | Rampage Modelling Agency

Personal Details

Title

Mr
Miss

Please select Mr or Miss

First Name

First name is required

Last Name

Last name is required

Age

Required

Date of Birth

Date of birth is required

Area / Suburb You Live In

Please enter your area

Contact Details

Cell Number

Required

WhatsApp Number

Required

Alternative Number Optional

Parent / Guardian Cell

Required

Email Address

Valid email address is required

Social Media

Social Media Handle Instagram / TikTok / Facebook

Declaration

I, the applicant (or parent/guardian if under 18), hereby agree to all the rules and regulations stipulated by Rampage Modelling Agency for the Mr & Miss Benoni competition. I confirm that all information provided is accurate and complete.

You must agree to the rules and regulations

Secure payment of R690 via Paystack

✦

You're Entered!

Thank you for submitting your entry for Mr & Miss Benoni.

Your payment has been received and your entry is confirmed. The Rampage team will be in touch soon — good luck!