Fantasy Island - Reality TV
Please fill in the required fields to submit your application form
Compulsory - $ US 25,000.00 - Unique advertising opportunity
Christian Name:
Middle Name:
Surname:
DOB:
Age:
Address
in Full:
State:
Zip Code:
Country:
Nationality:
Religion:
No Languages Spoken:
Occupation / Business:
Phone Details. Please provide area codes for all numbers.
Home:
Work:
Cell / Mobile:
Do you drink?
social
moderate
heavy
no
Do you smoke?
social
moderate
heavy
no
Height:
Weight:
Clothing Size:
Build:
Complexion:
pale
light
fair
tanned
well tanned
dark
Hair Colour:
black
brown
red
grey
blonde
dyed
Eye Colour:
green
blue
brown
hazel
dark
Email:
Referred By:
Questions to be Answered
Are you afraid of commitment ?
Are you the Chaser or the Chased ?
Did you have a Happy Childhood ?
Are you Adventurous in Bed ?
Are you Selfish in Bed ?
What would make you end a relationship ?
Send
You are also required to email us at
fantasy@realitytvaust.com
(1) one recent photo being a full length shot. The photo is to be of a small postcard size and to be sent separately to your bachelor application.
Be sure to mention your first and last name in the email.