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First Name *

Last Name *

Email *

Phone Number *

Type of Event

Venue Name

Venue Address

City

State/Province

Zip/Postal

Date of Event *

Time you want us to start *

Total Active Photo Booth Rental Time Needed. (ex: 3.25 = 3hrs 15mins) *

Total Idle Rental Time Needed. (Time we are setup but booth isn't being used)

Coupon Code

Total Cost

First Name on Card *

Last Name on Card *

Billing Address *

Billing Address

City

State/Province

Zip/Postal

Credit Card *

Credit Card

CC Number

Exp. Month

Exp. Yeah

3 or 4 Digit Security Code on Back

Total Being Charged to Card:

For assistance booking or if you have questions, please give us a call! 717-322-2135.