Phone 

E Mail 

Requested Date  

Style and Shoot Information

Gender Male Female Couple Group           Style (Select as many as you wish) Family Action or Sports Couple Personal Romantic Lingerie Partial Nudity Nude Intimate and Adult         End Product (select as many as you wish)  Prints CD or DVD Video DVD TFCD or Other Web page or web site

I would like to have Kelley Susan Both of You Pose With Me           If the shoot contains nudity I understand all present must be Over the age of 21

Tell us a few things you would like to do during your shoot