Travel Form

If you are at all interested in working with me please consider filling out this form. I will be keeping the provided information on file so I know where to travel for photoshoots. Once I have enough people in your erea to make my trip financially possible I will contact you. If you are a MUA (Makeup Artist) and would like to provide makeup services for me while I travel, please fill this out too. My rates are very reasonable. Please note: These rates are for non-commercial model released shoots.

Note: Fields indicated with an asterisk ( * ) are required.

Full Name *
Alias/Modeling Names
Email Address *
Website or Myspace
City, State, and Zip *
Phone Number *
Where did you hear about me or see my work?
Type of Shoot *

Services you are interested in:

(click all that apply)

Beauty/Fashion
Headshots/Promotional
Fine Art Portraiture

Maternity
Newborn
Children

Family
Couple
Engagement

Any information you want to put here...

background, shoot details, ideas for shoot, etc...

To submit this form, please enter the characters you see in the image:

Brian Patrick Wade
p h o t o g r a p h y
p. 619.204.6020
e. info at brianpatrickwade . com

All photography © Brian Patrick Wade Photography. Any unauthorized resale, distribution, public display or duplication is a violation of all applicable laws and it subject to prosecution.