Capital Xpress 360 Photo Booth LLC. Information Request Form

CapitalXpress Photography/360 Photobooth LLC. Event Booking

If You Are Ready To Reserve Your 360 Video Photo Booth Today, Please Fill Out The Form Below And Someone From Our Team Will Contact You To Confirm Details and Go Over the Contract. (Please note: Only Fill Out This Form if You Have Your $100.00 Non-Refundable Deposit Ready to Secure Your Date)
How Did You Hear About Us? *
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail *
example@example.com
Date of Event*

MonthDayYear
Date
Type a Event*
Name Of The Venue ( If Home just write home)*
Event Address*

Street Address

Street Address Line 2

CityState/Zip Code

Postal / Zip Code
360 photobooth is $250/hr 2/hr minimum required.
Length of Reservation

Schedule 1 to 2 Hour Photo SessionSchedule 2 to 3 Hour Photo SessionHire Photographer for Event2 Hours 360 Video Photo Booth Rental3 Hours 360 Video Photo Booth Rental4 Hours 360 Video Photo Booth Rental5+ Hours 360 Video Photo Booth RentalI would like to discuss event combo packages for the 360 Photobooth & Photography.
Add-ons

TV Viewing Station - $100Backdrop - $200Customized Overlay $25
Time Booth Opens

Hour Minutes

AM/PM Option
CapitalXpress 360 Photobooth LLC. will arrive one hour before the opening time, if you want an early setup there will be a $50 upcharge for up to 4 hours earlier than the time of the Event.
Do you want an early setup?*

YES (I understand that there will be a $50 upcharge)No
How many Guest will be attending?
Will the event be Indoors or Outdoors?
Can You Ensure That There Will be Adequate Space Provided For The Camera Platform to be Set Up 10 ft deep, 10 ft wide, 10 ft high?

YesNo
Will You be Able to Make Sure Power is Available (110V, 5 Amps, 3 Prong Outlets on a Dedicated Circuit)?

YesNo
Will a High Speed Internet Connection be Available?*

YesNo
Are You Ready to Reserve Your Date With a $100Non-Refundable Deposit? (Remaining balance due 1 day before your event.)*

YesNo
Preferred Method of Payment?

Zelle 937-340-1102Ca$happ (Ask for Link)Credit CardApple PaySamsung Pay
Best time to contact you?*

MorningAfternoonEveningAnytime
What do you want the 360 Photobooth say? Ex. Happy 30th Pearl... Happy 10th Anniversary
What upbeat song do you want to be added to your 360 Video?
What colors do you want to be added to your 360 Video?
Do you want a picture to be added to your 360 Video? If yes... Please send picture to 937-340-1102.
Is there anything else that we should know?
CapitalXpress 360 PHOTOBOOTH LLC. TERMS & CONDITIONS
Check each box after you have read each session.*

By checking this box you understand that CapitalXpress 360 Photobooth LLC is contracted for the time stated in this questionnaire. The CapitalXpress 360 Photobooth LLC is not responsible for your event starting late or no guests showing up. If you want CapitalXpress 360 Photobooth LLC to stay for additional time after what is stated in this questionnaire there will be an additional cost.By checking this box you understand that if you or any of your guests damage any of the equipment brought by CapitalXpress 360 Photobooth LLC You are 100% responsible for the cost of the damaged equipment, along with the balance for the eventBy checking this box you understand that CapitalXpress 360 Photo Booth LLC. is not responsible for any weather conditions that may arise on the day of your event, by which we have to stop our services. If this happens you are responsible for 100% of the balance.
Signature (I Agree and understand the above information.)

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CapitalXpress Photography/360 Photobooth LLC. Event Booking