Please complete the following fields for more information about working with a member of our team. If you are a model or act interested in representation, please email your information below and attach photographs. Photos should be SMALLER than 1mb. All submissions must have photo attached. NO CHILDREN PLEASE. Must be 18 years of age or older to be considered. Thank you!

Name *

Address *

City *

State *

Zip *

Website Address

Email Address *

Mail Photos To:
Image Model Talent Agency
885 Woodstock Rd STE 430-#400
Roswell, GA 30075
Tel. 770.993.2493
Fax. 770.993.9334



Phone *

Cell Phone



Attachment *

Attachment (Additional if needed)

* = Required Fields