Portraits with a Purpose 15 Minute Session Booking Form
Client Information
Session Times. 1 slot available per time.
Select your afternoon session time THURSDAY MARCH 13th
Please note there is only 1 slot available for each time
Select
Select
12:00 PM (1 available)
12:15 PM (1 available)
12:30 PM (1 available)
12:45 PM (1 available)
1:00 PM (1 available)
1:15 PM (1 available)
1:30 PM (1 available)
1:45 PM (1 available)
2:00 PM (1 available)
2:15 PM (1 available)
2:30 PM (1 available)
2:45 PM (1 available)
3:00 PM (1 available)
3:15 PM (1 available)
3:30 PM (1 available)
3:45 PM (1 available)
4:00 PM (1 available)
4:15 PM (1 available)
4:30 PM (1 available)
4:45 PM (1 available)
5:00 PM (1 available)
5:15 PM (1 available)
5:30 PM (1 available)
5:45 PM (1 available)
6:00 PM (1 available)
Select your morning session time FRIDAY MARCH 14
Please note there is only 1 slot available for each time
Select
Select
8:00 AM (1 available)
8:15 AM (1 available)
8:30 AM (1 available)
8:45 AM (1 available)
9:00 AM (1 available)
9:15 AM (1 available)
9:30 AM (1 available)
9:45 AM (1 available)
10:00 AM (1 available)
10:15 AM (1 available)
10:30 AM (1 available)
10:45 AM (1 available)
11:00 AM (1 available)
11:15 AM (1 available)
11:30 AM (1 available)
11:45 AM (1 available)
12:00 PM (1 available)
12:15 PM (1 available)
12:30 PM (1 available)
12:45 PM (1 available)
Billing Address
* Country
* Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
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Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
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Ethiopia
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Faroe Islands
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French Southern Territories
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Gambia
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Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
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Hungary
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Indonesia
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Iraq
Ireland
Isle of Man
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Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
Luxembourg
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
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Mauritius
Mayotte
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Micronesia, Federated States of
Moldova
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Netherlands
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Nigeria
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Northern Mariana Islands
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Palestinian Territory, Occupied
Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
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Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
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Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
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* State/Province
* State/Province
AA
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American Samoa
AP
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Northern Mariana Islands
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South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
* County
* County
Sub Total
$65.00
sales tax
$3.90
TOTAL
$68.90
Payment Method
Credit Card
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* Credit Card Type
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Diner's Club
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