Studio
Icon
Photo Package Request Form
Provided by KAZ
Talent
Services
Date:
_________________
I, _______________________________ would like to request the Studio
Icon the following photo package provided by KAZ Talent Services :
Type of Services ---please mark X
:
Indicated the appointment date & time of your choice :
( ) Package #1
$150.00 Date & time 1st
choice__________________________, 2nd choice___________________________
( ) Package #2
$275.00 Date & time 1st
choice__________________________, 2nd choice___________________________
( ) Package #3
$400.00 Date & time 1st
choice__________________________, 2nd choice___________________________
( ) Package #4
$525.00 Date & time 1st
choice__________________________, 2nd choice___________________________
( ) Package #6
$650.00 Date & time 1st
choice__________________________, 2nd choice___________________________
( ) Detailed Package for adult
$900.00 Date
& time 1st choice__________________________, 2nd
choice___________________________
THE TOTAL AMOUNT FOR THE
SERVICE: $______________________________________
* I understand that KAZ Talent Services & Icon Studio do not
guarantee us obtaining any
auditions nor paid jobs by the services provided by them.
1] Name of the person getting pictures
taken:
2] Gender and Date of Birth :
3] Address :
4] E-mail address :
Phone Numbers, Home & Cell :
5] Ethnic Background (Japanese, Korean, or half Japanese/Caucasian,
etc)
:
Above information is all correct
:
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿ Your signature
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Print your
name (& relationship to the person getting pictures
taken if minor)