Wufoo
Class of '13 avp senior rep application
Amy Vining Photography is quickly becoming the area's choice for vibrant & stylish senior portraits. AVP is looking for trend-setters to be her Class of '13 reps!
2013 Rep Application
To be considered for the AVP Rep Program please fill out all parts of this form. The AVP Senior Rep Program is designed to get the word out to your classmates and friends throughout schools in the Portland/Vancouver metropolitan area. Your responsibility will be to hand out your personalized rep cards and promote and share your photos on Facebook throughout the Spring and Summer of 2012.
In return, you will receive:
1/2 off your Couture Session fee (regularly $195 and includes professional hair and makeup if you want it!)
Personalized rep cards to share with friends
Indoor and outdoor photos
A personal ordering session one week after your shoot
A special gift in the mail each time you send a classmate to our studio
Terms
I understand that Amy Vining Photography may use photographs from my session for displays, advertising, exhibitions, or competitions. I understand that there are several obligations as and will performs these duties to the best of my abilities. Any violations of this agreement will terminate any credits and program requirements that I am entitled to from referrals.
By filling out this form I am agreeing to the terms and conditions of being an AVP Senior Rep for the Class of 2013.
Name
First
Last
Address
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
Email
Phone Number
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What high school will you graduate from?
*
Why do you want to be a CLASS OF '13 SENIOR REP for Amy Vining Photography?
(Remember, this is how we will make our selections this year, so tell us about you, what you're involved in, etc.)
Check all that apply:
*
I am willing to grant permission to Amy Vining Photography to use my portrait in advertising
I am not/will not be a representative/model/ambassador for another photography studio or independent photographer
I will be willing to recommend students from the Class of '13 for the rep program
Student Signature
Parent Signature
Do Not Fill This Out
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