UpNXT Entry Form

Designer Name *

First Name Last Name

Label Name *

Position (CEO, PR, Publicist) *

The Year the Company was Formed *

Annual Gross Sales of the Company *

Business Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *

Cellular Number *

- Area Code Phone Number

Work Number *

- Area Code Phone Number

Website *

Facebook *

Instagram *

IF I AM SELECTED BY THE PANEL FOR THE FashioNXT-UpNXT, I UNDERSTAND & ACKNOWLEDGE THAT THERE WILL BE A $450 SHOW PRODUCTION FEE ASSESSED, PAYABLE WITHIN TWO WEEKS OF THE SELECTION.

Checking here indicates that you have read and understood, and accept the above stated clause and agree to above stated conditions

I agree

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UpNXT Registration Fee $ 30.00