Regulamento | Ficha De Inscricao | Manual-2010

If you want to compete for the title of Miss Brasil USA 2010-Texas, complete and submit the form below. For more information, please call:

Rosangela Salazar
: (713) 302-7989
Patricia Lavin: (713) 851-1689



First Name: *  
 Surname: *
  E-mail: *
   Address:
 City:
  State: *
  Zipcode *
  Nationality: *
  Origin in Brazil: *
  Phone: *
  Website: *
  Date of birth: * ( MM / DD / YYYY )
  Height: *  
  Weight: * Pounds  
Experience:

    
    * indicates required information

 

 

 

2 October 2010