DJP School Pictures Early Sign Up Form

Early sign up = picture day perks!

Dear Parents,

Thank you for trusting me with your children's school pictures. I am excited to be photographing picture day at DJP for the 10th year in a row and truly appreciate the continued support from our community.

Signing up in advance helps us plan a smooth picture day for everyone. A $10 participation fee per child is required for early sign-up and is fully credited toward any photo purchase made after picture day.

As a thank you for early sign-up, families who register in advance will exclusively receive 20% off all school picture prints.

Your participation credit and discount code will be sent by email after school picture day.

Orit Ben-Ezzer, photographer.

Client Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

Student First Name

Student Last Name

Additional student names (siblings)

If you have more than one child attending DJP, would you like to have a siblings shot of your children taken?

Yes + $10.00
No

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Sub Total

$0.00

TOTAL

$0.00

Payment Method

PayPal
Credit Card

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number

Photos by Orit Ben-Ezzer www.oritbe.com Ziss Photography, LLC 954-5889899 zissphoto@gmail.com

DJP School Pictures Early Sign Up Form

Thank you for contacting us!