video contact form

Thank you for purchasing our Video Package that will

make your memories last forever.

In an effort to serve you better and avoid confusion, please complete

the contact form below. Fill in any applicable information, then click

the "Submit" button at the bottom.

Congratulations again,

Daryl Scott

Wedding Date Rehearsal Date

Bride's Name

Home Phone

Work Phone

Groom's Name

Home Phone

Work Phone

Fax

Email

Pre-Wedding Information

Address

City

Zip

Post-Wedding Information

Address

City

Zip

Ceremony Information

Name of Location

Phone

Start Time

Address

City

Zip

Reception Information

Name of Location

Phone

Start Time

Address

City

Zip

Start Time For Cocktails

Start Time For Dinner

Bride's Parents Names

Groom's Parents Names

Best Man

Maid/Matron of Honor

OFTEN WE WILL ENLIST THE HELP OF EITHER THE BEST MAN OR MAID/MATRON OF HONOR TO FIND PEOPLE ON THE INTERVIEW LIST. PLEASE CHECK WHICH OF THE TWO WE CAN RELY ON FOR HELP ON THE WEDDING DAY.

Best Man

Maid/Matron of Honor

Interview List: Please lest up to 8 people or couples you would like to have interviewed for your finished video and their relationship to you.

1) Name:	Relationship:
2) Name:	Relationship:
3) Name:	Relationship:
4) Name:	Relationship:
5) Name:	Relationship:
6) Name:	Relationship:
7) Name:	Relationship:
8) Name:	Relationship:

Wedding Day Contacts

Minister/Pastor Name

Onsite Wedding Coordinator

Reception Site Coordinator

Photographer

Phone

D.J./ Entertainment Company Name

Phone

Name of D.J. or Band Leader

Attire of Videographer: please choose one

Polo & Slacks

Suit & Tie

Tuxedo

Do you mind if we have business cards and brochures? Yes No

Since your Videographer will be working a full shift will they be eating with your guests?

Yes No

When finished click "Submit" to send, or "Reset" to clear and start over

After clicking "Submit" please wait for confirmation page to load. You may print the confirmation for your records