Wufoo
Picture This! Class of 2013 Model Application
Become a Model for our Photography Studio and have an Awesome Experience!
775-423-9700 263 S. Maine St. Fallon, Nevada 89406
It's already time to start thinking about your Senior Portraits.
You can be a Representative for Picture This! and earn credits and special discounts by being a Picture This! Model for Class of 2013 Seniors.
You don't have to be a perfect model size or look like a model to get accepted. This is an opportunity to build self-esteem in yourself and others. We base our decision on personality, giving back, activities and would like to show their true beauty.
Remember, only a limited number of Picture This! Reps are accepted! If you meet our requirements... sign-up today! The Picture This! Senior Model Program is a way for models to earn discounts on their senior portraits, while helping us show off the latest styles and update our senior images!
..Here are the details.. just fill this out and hit submit.
2013 Rep Benefits...
1) 45 minute test modeling session taken before March 20, 2012. Bring 2 or 3 fun, funky and fashionable outfits.
2) You're required to buy in the program. You can earn this money back with referrals! The value of this program is $1095 in the sessions and products you will receive. In addition to that you will also get 50% off your Model Images if ordered within 10 days.
3) Your own Facebook Promo Code-to track friends who came to Picture This!
4) Designer Rep Cards- 25 customer designed cards with your name and image to get you started... Let's hope you need more!!
5) Website, Blog, Brochures, Displays & Facebook- are some of the places in which you may appear!
6) You'll receive a cool video slide show and two images to display on your Facebook and Phone!
7) For every rep card or Promo code redeemed from your friends, you will receive $20 off your final portrait order and your friend will receive $20 toward their session fee. Valid one card per senior, per session.
8) Opportunities to model at events, be on displays, websites and earn money toward your Senior Portraits.
******SCROLL DOWN ON RIGHT HAND SIDE BAR TO FILL OUT APPLICATION******
Name
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First
Last
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Cell Phone Number
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Mom's Name
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First
Last
Mom's Email
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Mom's Cell Phone Number
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I would be a great Model to represent Picture This! because...
I have the permission of my Parents. I understand I can only represent Picture This! and will have my summer session exclusively at Picture This! in 2012 and understand my money goes toward my Senior Model Program and my summer session is included.
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Yes
No
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