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Your full name *

First Name

Last Name

Your fiancé(e)'s full name

First Name

Last Name

Wedding or event date *

MM

DD

YYYY

What service are you interested in? *

iPhone coverage only

iPhone & vintage camcorder coverage

Something else/not sure yet

How many hours of coverage are you interested in? *

6 hours

8 hours

10 hours

Not sure yet

Are you interested in any add-ons? *

Extra Event (i.e. Bridal Shower/Rehearsal Dinner)

Guest Camcorder

Extra hours of coverage

Something else

None

Where are you at in the booking process? *

Still browsing around

I think I'm set on you

I'm 100% set on booking you!