Senior Portrait Info Request
All information will be kept confidential.

Name:

Email:

Phone

School

Class of:

Comment or question:

Referred by:

Please be patient and only press the “Submit” button once.  Thank You

Request An Appointment

 

 

Request an Appointment

To request an appointment, please enter your information below. We will contact you with a few times based on your and our availability. Thank you.

Your e-mail address:

Your name:

Comments, questions, concerns or interests:

Please call me at:

Best time(s) to call:

What do you need an appoint for?
(check all that apply)

 A Pre-Portrait Consultation
 Portrait Session
 Preview Session
 Pick up an order

What days are best for you?
(check all that apply)

 Monday
 Tuesday
 Wednesday
 Thursday
 Friday
 Saturday (Please note: Saturdays are most often booked with social events and may not be availble for several weeks.)

Best Time of Day
(check all that apply)

 Early Morning (10-11)
 Late Morning (11-12:30)
 Early Afternoon (1:30-3)
 Late Afternoon (3-5:30)
 Evening (7-9)

Would you like a copy of this form sent to you?

Please review your entries before submitting! Be sure to double-check the accuracy of your e-mail address or we will be unable to contact you. Submitting may take a few moments. Please be patient and only press the “Submit” button once. Thank you.

 

 

 

Peter M. Budraitis Photography • (516) 674-0227
53 Forest Avenue, Glen Cove, Long Island, New York 11542
Visit our general website, www.pmbphoto.com