Rich & Fabulous Project bhmedia February 18, 2016 Your Name (required) What city do you live in? (required) Select a State (required) --Select--AlabamaAlaskaArizonaArkansasAmerican SamoaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerta RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyomingDistrict of Columbia How old are you? (required) Email (required) Phone Number (required) Skype Username How did you hear about the show? (e.g. Casting Director Name, Instagram, etc.) Are you applying for yourself or on behalf of a friend or family member? (If nominating someone else, please describe them in the questions below and attach photos of both yourself and the nominee). (required) What makes your lifestyle fabulous? (required) How do you fund your lifestyle? (Examples: Work, Family Money, Trust Fund, Inheritance, etc) (required) Do you feel that you are living within your means? (required) What sorts of issues does your lifestyle cause with other people in your life? (required) Who is the person in your life who has the biggest issue with the way you spend your money and/or display your wealth? (required) Please upload 3 photos. Group shots are OK. Please describe who is who in each of the photos you uploaded. 5 MB max per photo. Photo 1: (required) Description of photo 1: Photo 2:(required) Description of photo 2: Photo 3:(required) Description of photo 3: Yes, I would like to be notified of future casting opportunities. I have read and agreed to the terms of service. Producer has no obligation to return any materials submitted by me as part of the participant selection process or in connection with my participation in the Program (the “Materials”) whether or not I am selected as a participant, and I hereby grant Producer the right to, and understand that Producer may, but is in no way obligated to, use any portion of the Materials in and in connection with the Program or any other program(s); and (x) Producer shall have the right to use my Likeness, the Recordings and the Materials in any manner, in whole or in part, in any and all media now known or hereafter devised in perpetuity throughout the universe.