Maternity/Newborn Ambassador Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Due Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you an existing customers?
Yes
No
Do you already follow me on Social Media (Facebook and Instagram)
Yes
No
Please tell me a little bit about you.
What makes you best suited for being my Brand Ambassador?
What is you Facebook link?
What is you Instagram username?
Please upload no more than 2 images of yourself.
Browse Files
Cancel
of
I agree to help promote Laci James Photography according to the Ambassador Rules and Regulations. *If chosen these will be described in detail.
I agree
I understand the rules and regulations (expectations) and will not promote another photographer during my time as a Brand Ambassador.
I understand
I understand and agree to the terms and conditions that all media created in my sessions will be used for promotional purposes.
I agree and understand
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