SALT. Model Mgmt Payment form

Name *

First

Last

Email *

Phone *

Date of Shoot / Job *

Date of jobs

If you have worked more than one job please type in the dates

Name of Shoot *

Rate £ *

Please provide the rate of the job, if per day please type in the rate per day

Total Rate £ *

Please provide the total rate of the work being invoiced for

Account Name

Please provide if not previously provided

Sort Code

Please provide Sort Code if not previously provided

Account Number

Please provide Account No if not previously provided

I can confirm the information provided is correct and I am responsible for my own Tax and NI Contributions *

Salt. Model Management is the former home of Headline Models. REPRESENTING THE MOST VERSATILE AND DIVERSE FACES OF THE NORTH EAST and the UK.

Salt Model Management, C/o Headline Models Ltd, International Business Centre, Mulgrave Terrrace, Gateshead, Tyne and Wear. NE8 1AN