Reservation

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Name:

Company Name

Telephone Number (Daytime)

Telephone Number (Evening)

Address

Email:

Website

How did you hear about us?

Le Selfie Booth Package

2 H 3 H 4 H

Additional Options

Scrapbook

Yes No

Type of Event

Event Site/Location

Event Address

Event Date

Event Start Time

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Event End Time

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Time Booth Starts Operating

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Time We Can Set-Up

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Name of Contact Person on Location

Telephone Number of Location

Number of Guests

Theme of the Event

Additional Event Information

Text Details to Appear on Prints

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