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Telephone:

(631) 499-6998

Fax:

(631) 462-1853

E-mail:

info@bartstevensphoto-video.com

Surface Mail:

Bart Stevens Video & Photography
230 Daly Road
East Northport, NY 11731

Portraiture Info Request Form

How did you hear of us?

Your e-mail address:

Your name:

Area of Interest

Portraiture Location:

 

At Home*

 

Park/Beach/Outdoor Location*

 

At our indoor studio

 

At our outdoor studio

*Location:

Comments, questions, concerns or interests:

Please mail a brochure to:

Please call me at:

Best time(s) to call:

Please fax a price list to:

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.

 

Bart Stevens Video & Photography • 631-499-6998 • info@bartstevensphoto-video.com