Name *

First Name

Last Name

Are you over 18 years of age? *

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

What month is your birthday?

January

February

March

April

May

June

July

August

September

October

November

December

Do you wear glasses?

Yes

No

Have you thought about how you plan to display your photos afterwards?

Check all that apply.

Large canvas wall hangings

Albums

Full size prints

Small size prints

Online only

Other

Are you interested in black and white or sepia photos?

Yes, I like both

Only black and white

Only sepia

No, I prefer full colour photos only

While you will be getting both styles, which “look” do you prefer more?

Classic Traditional Shots (directly organized poses and looking at the camera)

Candid Interactive Shots (a more relaxed approach and casual poses)