Internet Coupon Form

1.  Submit this form to us by using the "submit form" button below.
2.  You will receive a confirmation page after you submit this form.  This confirmation page is your coupon.
3.  Print out the confirmation page (coupon) and bring it to your senior sitting.
4.  You must have this coupon with you at the time of your sitting to receive your FREE carabiner keychain .
5.  Only 1 free carabiner keychain for each senior we photograph. 

Fields marked with an asterisk are required to be filled out.  Your email address will not be distributed to anyone for any reason.  If you ever wish to be removed from our senior list, contact us by email and type the words "remove from senior list" in the subject.

First Name*

Last Name*

email address*

What high school do you attend?