First Name                               Last Name                                           Phone

                    

 

Email Address                                                                              Street Address

          

 

City                                          State                          Zip

                   

Best time to contact you:

Morning
Afternoon
Evening

Part Two- How Did You Hear About Us?

Referral

Newspaper

Direct Mail

Salon  (which)     

Friend

Studio

Jeweler  (which)

Other  

Part Three - Enter For a Chance to Win

Now, simply check the box, and fill in the information corresponding to the drawings you would like to enter.

    Winners receive a $75 GiftCard to apply to your session fee and portrait order.

My interest is in:

Graduating Senior
Family

Children

Wedding

 

   

Three winners are selected each week, each receiving up to $175 in prizes, and are featured in

the "Excelsior Springs Standard" and the "Town & Country Leader".

 

Child's Name         

 

Age select age under 1 yr 1 2 3 4 5 6 7 8 9 10 11 12 13