Senior Portrait Reps
First Name *
Your answer
Last Name *
Your answer
Student's Facebook address *
Your answer
What school do you go to? *
Your answer
Student's graduation year: *
Your answer
Student's Phone # *
Your answer
What is Student's email? *
Please enter Student's email.
Your answer
What is the best way to contact you? *
Parent/Guardian First & Last Name *
Your answer
Parent/Guardian phone number: *
Your answer
Parent/Guardian email *
Your answer
What is your graduation year? *
Why do you want to be a senior rep for SEGG Media? *
Your answer
Are you involved in any extra curricular activities? If so, what are they?
Your answer
Why should we select you as one of our senior representatives? *
Your answer
Are you willing to promote SEGG Media to family, friends, and classmates in exchange for 1 discounted senior (50% off) portrait session & 10% referral rate? *
By selecting "Yes" to this question, you certify that all of the questions answered are correct & agree to all terms. *
Do you agree to only be represent SEGG Media exclusively? *
Your answer
Later, you will be asked to supply a recent photo of yourself to info@seggmedia.com thank you. Please state you will below. *
Your answer
We do have a down payment for our HS Senior Rep program, this can be earned back via refferals. Do you agree to pay that fee? *
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