Just your simple first and last name given you at birth... or changed to for whatever reason, or you can make it up if you want, I guess.
This time don't lie, I need it to be the real thing, unless you don't really want a response from me.
I'd love to see your website if you have one.
Just the standard email subject line. It will show up as "Photography Contact Form: Your Subject Here" in my inbox, incase that helps.
The important part of this, the reason you're here, the message!