Register Now Noire Productions, Inc.

This is not the official application, please fill out the information below and we will send you more information on the competition. Email: MissBlackNCUSA@aol.com
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*Contact Name*

Date of Birth:

College/University Attending

*Major:*

Address:

*City/State:*

Zip/Postal Code:

*Phone:*

*Height/Weight*

Platform:

Dress Size:

Talent for Pageant:

*Email Address:*

*Pageant/Modeling Exp:*
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You can also email us directly at: MissBlackNCUSA@aol.com