Clone of Los Angele Photobooth

This form does not guarantee your date. Your date is not guaranteed until after we receive a signed

contract and your deposit has been accepted.

Today's Date *

Month Day Year

Client Full Name: *

First Name Last Name

Client E-mail: *

Client Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Client Cell Number: *

- Area Code Phone Number

Client Work Number:

- Area Code Phone Number

I have spoken with:

If other, please specify:

Venue name: *

Will the venue require being on our certificate of general liability? *

Yes No

There will be an additional fee for Certificate of Insurance if needed

Venue Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Type of Event: *

Event Contact Full Name (if different than client):

First Name Last Name

Event Contact Email:

Event Contact Phone:

- Area Code Phone Number

Date of Event *

Month Day Year

Number of Attendees:

Start Time: *

End Time: *

Model Release: *

Yes No

Indoor/Outdoor: *

Indoor Event Outdoor Event

Special instructions for parking, load-in, stairs, elevator, etc.

Promotion: *

If other, who did you speak with, what are the details of your deal?

Voucher Number: (If applicable)

Additional Items:

Box of Props $50.00 Hi-Res DVD of Images - $25.00 Scrapbook - $75 Digital Downloads - $75 Custom Logo - $50 Roaming Photographer - $150/hr Additional Hours - $150/hr Other

If other, please specify:

Number of additional hours:

4 x 6 or Traditional Strip? *

4 x 6 with logo and 4 photos Traditional Strip with logo and 3 photos

Check if interested in green screen backdrop:

Additional Charge will apply

*Additional mileage/gas fees may apply.

Any additional comments:

Any additional questions:

Upload Logo:

Please make logo 520 px wide by 390 px tall at 72 DPI

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