2 Hour iPad Selfie Booth Contract Request Form Your Name * First Name Last Name Phone Number * (###) ### #### Email Address * Your Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Event * MM DD YYYY Event Type * Wedding Sweet 16 Quinceanera Milestone Birthday Gala/ Fundraiser School Event Other (Specify in Notes Field Below) Estimated Number of Guests * Service Start Time * Hour Minute Second AM PM Service End Time * Hour Minute Second AM PM Will You Need to Stop Service for Dinner? * Yes No Venue Information Venue Name * Venue Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Venue Contact Name * First Name Last Name Venue Contact Phone Number * (###) ### #### Can We Call Venue Contact? * Yes No Is a COI Needed for the Venue? * A COI is a Certificate of Insurance Yes No I Don't Know Questions/Comments Thank you!We will respond to your inquiry as soon as possible
