Payments/Deposits

First Name

Last Name

First *Name of subject, if different from above.

Last Name

Phone

Would you like to book a hair and/or makeup artist?

Hair and Makeup
Makeup ONLY
Hair ONLY (kids 12 and under)
None

*PLEASE note, you may only put a date in the date field below, if we have already agreed on a workable date. Please do not make a deposit without scheduling a date with me in advance as my availability changes frequently. Thank you!

ONLY IF prior arrangement was made. *Preferred Shoot Date

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

County

Select

Zip Code

Sub Total

$100.00

North Carolina Sales Tax

$7.25

TOTAL

$107.25

Payment Method

Credit Card

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number

Note: Your deposit will be deducted from your final total.

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