40 over 40 Photo Session Application Form

CHANGE YOUR WORLD BY EMBRACING

WHO YOU ARE

PLEASE FILL OUT THIS QUICK FORM IF YOU ARE INTERESTED IN CHATTING WITH ME FOR MORE INFORMATION OR TO SET UP YOUR SESSION!!

{"0":{"lid":"1647662857259","ls":"10","loff":"","li_type":"tx","li_text":"ABOUT YOU This information will be used to get in touch and find out more about you & how we can help you create, see and believe in the best version of you. "},"1":{"lid":"1570290149233","ls":"20","loff":"","li_type":"nm","li_title":"Name","li_ph":"Your Full Name","li_nm":"Name"},"2":{"lid":"1531306243545","ls":"30","loff":"","li_type":"em","li_name":"email","li_title":"Your E-mail","li_ph":"E-mail","li_nm":"email"},"3":{"lid":"1570301582012","ls":"40","loff":"","li_type":"ta","li_title":"Comments","li_rows":"4","li_nm":"Comments"},"4":{"lid":"1570290207299","ls":"50","loff":"","li_type":"ph","li_title":"Phone","li_ph":"Your Phone","li_nm":"Phone"},"5":{"lid":"1647663048760","ls":"60","loff":"","li_type":"cb","li_subtitle":"How would you like to be photographed?","li_label":"Glamorous. Bring your favourite dresses and jewellery","li_nm":"Checkbox"},"6":{"lid":"1647663195798","ls":"70","loff":"","li_type":"cb","li_label":"Professional. Something I can use for work","li_nm":"Checkbox_2"},"7":{"lid":"1647663231974","ls":"80","loff":"","li_type":"cb","li_label":"Casual. I want to look like \"me\". Friendly and approachable ","li_nm":"Checkbox_3"},"8":{"lid":"1647663269500","ls":"90","loff":"","li_type":"cb","li_label":"Sexy. Wearing a daring dress or maybe even lingerie ","li_nm":"Checkbox_4"},"9":{"lid":"1647663283349","ls":"100","loff":"","li_type":"cb","li_label":"No sure what would fit better. I'd rather discuss it over the phone","li_nm":"Checkbox_5"},"10":{"lid":"1647663406966","ls":"110","loff":"","li_type":"sb","li_title":"When would it be a good time to contact you? This chat will take place through zoom or by phone.","li_variants":"Weekday morning\nWeekday afternoon/lunch time\nWeekday evening\nWeekend","li_selfirstvar":"Choose one","li_nm":"When would it be a good time to contact you This chat will take place through zoom or by phone."},"11":{"lid":"1647663522342","ls":"120","loff":"","li_type":"sb","li_title":"Do you prefer meeting by Zoom or Telephone","li_variants":"Zoom\nTelephone","li_selfirstvar":"Choose one","li_nm":"Do you prefer meeting by Zoom or Telephone"},"12":{"lid":"1647663559516","ls":"130","loff":"","li_type":"ta","li_subtitle":"Notes. Why are you interested in the 40 OVER 40 Project?","li_rows":"8","li_nm":"Textarea"},"13":{"lid":"1647663836400","ls":"140","loff":"","li_type":"sb","li_title":"How did you hear about our 40 over 40 campaign?","li_variants":"Facebook\nGoogle\nInstagram\nFriend\nEmail\nBNI\nOther\n","li_selfirstvar":"Choose one","li_nm":"How did you hear about our 40 over 40 campaign"},"14":{"lid":"1647663976465","ls":"150","loff":"","li_type":"tx","li_text":"I fully understand that session fee of $390 (a total value of $890) includes photo session (including hair and makeup) + one image of my choice printed on vivid metal (8x12). Additional photographs and wall art can be purchased at extra cost during your BIG REVEAL. "},"15":{"lid":"1647664092518","ls":"160","loff":"","li_type":"cb","li_label":"I have read and fully understand the above statement","li_nm":"Checkbox_6"},"16":{"lid":"1647664337288","ls":"170","loff":"","li_type":"tx","li_text":"<div style=\"font-size:18px;\" data-customstyle=\"yes\">Please note if you have not heard back from us, please check your JUNK mailbox.</div>"}}