Epix 360 Experience Intake Form

Book the Epix 360 Experience!!
We are so excited to service your event. Please take a moment to tell us a little bit about yourself and the event. This will allow us to provide you with an Epix Experience! Thank you for considering us, we look forward to working with you!

*PLEASE NOTE: This is not a final confirmation of your booking. We will contact you via phone and/or email to discuss the event and collect the deposit. (The deposit will be 50% of your total service.)
Name*

First NameLast Name
Cell Phone*

Area CodePhone Number
Confirm Cell Phone*

Area CodePhone Number
Email*
example@example.com
Confirm Email*
example@example.com
Event Information
Event Type*
Ex: Wedding/Trade Show/Corporate Event
Event Address*
Ex: 1234 Main Street, Atlanta, GA 30033
Venue Name
Event Date*

MonthDayYear
Event Begin Time*

:HourMinutesAM/PM Option
Event End Time*

:HourMinutesAM/PM Option
Does your event area have at least a 12' x 12' space to set up 360 Camera Equipment?*

YesNo
How many guest will be in attendance? **
What is the event theme or color scheme?*
Please tell us more about your event and expectations:
We would like to send you information about special offers, upcoming events, and other opportunities we think you'll love.*

Yes, I would like to be sent information about special offers or marketing communications.No, I do not want to be sent any special offers or marketing communications.
Should be Empty:

Book the Epix 360 Experience!!