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Barb Pelliccione Photography
Making Memories Last a Lifetime
HOME
SENIORS
MODEL APPLICATION
CHILDREN
ABOUT
CONTACT
Please fill this out if you are interested in an amazing Senior Experience!
Name
*
First Name
Last Name
Email Address
*
Phone Number
Address
What High School do you attend?
What is your year of graduation?
Becoming a Model Representative with my company means you cannot promote another competitive Senior photographer during your last year of school. Are you cool with that?
*
Yes, I can't wait to get started!
No thanks
Can I friend and tag you on Social Media?
*
absolutely!!
no thanks!
Are you willing to post on social media sites on my behalf to promote Barb Pelliccione Photography?
*
Yes, Social is my middle name!
No, I don't have wifi!
Are you interested in earning cash, prizes and image credits, when your friends complete sessions with me?
*
Yes, Cash is awesome!!
No, I'm independently wealthy!
Have you discussed this opportunity with your parents?
*
Yes, they think it's great!
No, but I will change my answer to yes before I submit!
Please leave me your Parents names and phone number:
Now it's your turn....... Please include any questions here that you may have for me. I would love to chat!
Thank you!