Private Session Registration

 

You may also print this form out and mail it to the address below

Email Hollywould Productions personally with any questions you may have on any product

A $100.00 down payment is due for booking any session with Hollywood. A refund will only be given if you cancel with in two weeks of your session.

You can pay in full for your session now, or just the $100.00 down payment which is due upon booking your session with her.

Payments can also be made via snail mail, phone, or fax, Info on these options can be found below.



Hollywould Productions
Session Date, Time, and Location Price
   
TOTAL

Bill To: (Shipping address must be the same as Billing address. Unless otherwise specified on the special instructions/comments box below.)

      Name 

 Address 1 

 Address 2 

      City 

     State 

       Zip 

   Country 

 Telephone 

    E-mail 

CHARGE YOUR PURCHASE

Jeanne  Basone
PO Box 1866
Burbank, CA 91507

via fax:
 
You may also call your orders in over the phone
(213) 368 4791

Check One:
VisaAMEXMastercard


Card Number: 
Exp. Date (mm/yy) 
Special Instructions/Comments: 


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