I am looking for subjects to pose for a biochemical portrait. All you need to do is fill out the following information and email it to: [EMAIL PROTECTED]
I will retain anonymity of sitter if desired If you want a copy of your portrait, let me know BioChemical Portraiture Please complete the following: Perscription Medication name__________________________________________________________________ dose__________________________________________________________________ name__________________________________________________________________ dose__________________________________________________________________ name__________________________________________________________________ dose__________________________________________________________________ name__________________________________________________________________ dose__________________________________________________________________ name__________________________________________________________________ dose__________________________________________________________________ name__________________________________________________________________ dose__________________________________________________________________ Over the Counter and Vitamins name__________________________________________________________________ dose__________________________________________________________________ name__________________________________________________________________ dose__________________________________________________________________ name__________________________________________________________________ dose ________________________________________________________________ Personal Info: age__________gender__________location____________________________________ present occupation __________________________________________________________ desired occupation __________________________________________________________
