SAVE THE DATE

First Name

Last Name

Phone

Message

Date

Location of event (if known)

Time

HOUR

MINUTE

AM/PM

A $50 booking/administration fee is required now to secure your date. This amount will be deducted from the total cost of your service/package. 50% of your booking fee will be refunded if you cancel your booking up to 4 weeks in advance.

Billing Address

Address Line 1

Address Line 2

City

Country

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State/Province

Select

Zip Code

Sub Total

$50.00

TOTAL

$50.00

Payment Method

Credit Card

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number
Paypal

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