If your interested in booking a private photo session please complete the following form
Please take note all fields with the symbol
.
*
.
must be filled in.
You must be at least 18 years old and importantly be in Austria ,either a
resident or here on holidays etc.
Category
For myself
As a Couple
Gender
Female
Male
First Name
*
Surname
*
.........
.
Privacy Assured
E-mail address
*
........
.
Privacy Assured
Your age group
18 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
+ 65
Select
*
..........
Privacy Assured
Address
State
Country
Postcode
Telephone / Mobi
l
........
.
Privacy Assured
Preferred session date
Date
Time
Personal Details
Heigh
t
(cm)
Weight
(kg)
Piercing
yes
no
when yes where?
Tattoo's
yes
no
when yes where?
Scar's
yes
no
when yes where?
Pigment Problems
yes
no
when yes where?
Type of photography
Lingerie
yes
no
Bodypainting
yes
no
Semi nude
yes
no
Classic Nude
yes
no
Erotic photos
yes
no
Fetish
yes
no
Comments
After clicking the submit button please wait till the "Thank you" page loads as this will ensure your form has been sent
.If the page does not load then the server may be off-line in this case please send me a
E-mail
with your name and a brief description ,Thank you.
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Copyright © 2001 Hans Molnar-Reitmeyer Photography, All Rights Reserved
Haupstrasse 24A Neufeld/L Burgenland Austria
Mobil.:+43-650-9702773 , fax.:+43-2624-58191