First name:
Last name:
E-mail:
Cell phone:
Home phone:

Best time to call:
8am - 12pm
12pm - 1pm
8am - 5pm
8am - 9pm
5pm - 7pm
7pm - 9pm
Ad responded to:
Amount paid:
Date of wedding:
State of wedding:
City of wedding:
# of pictures received:

Misc. Information "or" information to report:

 

File a REPORT

Have you been taken advantage of by William Stephen Brienza (aka Steve, Bill)?  Please let me know and I will include you on the site of victims.