Viscount Experiential Marketing

Telephone: 029 2000 3895

To become a member of Team Viscount please complete the form below.

It is important that you include a photo with your registration in order to put your details forward for bookings.

First Name:

Last Name:

Email Address:

Address Line 1:

Address Line 2:

Town:

County:

Postcode:

Preferred Working Area:

Preferred Working Area 2:

Preferred Working Area 3:

Mobile/Phone Number:

Date of Birth
(e.g. 01/02/2009):

Gender:

Male

Female

Height:
(e.g. 5' 10")

Waist:
(e.g. 30")

Suit/Dress Size:
(e.g. M:34L F: 8)

Chest/Bust:
(e.g. M:36 F:36C)

Inside Leg:
(e.g. 34")

Shoe Size:
(e.g. 12)

Hair Colour:

Blonde	Brown
Red	Mousey
Black	Grey

Eye Colour:

Blue	Green
Brown	Hazel

Any visible tattoos?:

Yes

If so, where?

Do you have a full and valid
drivers license for the UK?:

Yes

Do you have more than 6 points?:

Yes

Car owner?:

Yes

Make of Car

Do you have a criminal record?:

If yes, please detail:

Experience:
(Tick all that apply)

Acting

Bar Flaring

Brand Ambassador

Conferences

Dancing

Demonstrating

Drive a Luton

Exhibitions

Leafleting

Merchandising

Modeling

Motorbike Owner

Photographer

Roadshows

Sales

Singing

Team Leader

Assistant Event Management

Beauty Therapy / Make Up Artist

Chef

Costume / Character

Data Capture

Drive a 7.5 Tonne

Event Management

Hospitality

Masseur / Masseuse

Microphone Work / Presenter

Motorbike License

Musician

Rigging Experience

Rollerskating

Sampling

Ski / Snowboarder

Tobacco Sampling

Other info about you:
(Include examples of the above)

How did you find out about us?:

* Who recommended us?:

Upload a photo of yourself:
(.jpg / .bmp / .pdf) Max Size 2MB

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have read our
terms and conditions.

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conditions before you proceed.

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