Bride/to be Name *

First Name

Last Name

Groom/to be Name

First Name

Last Name

Cell Phone *

(###)

###

####

Desired Shoot Date *

The date you would like to have your photos done.

MM

DD

YYYY

Video Coverage *

There is a $1,000 up-charge for video coverage.

Yes

No

Destination Shoot? *

Do you want to travel to a further destination? NOTE: If you would like to travel more than 30min from downtown Detroit there may be a travel fee or reduction in your coverage time.

Yes

No

I would like to explore the possibility, and I know there may be a $1,000 fee.

Groom to be Name *

First Name

Last Name

Bride to be Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Proposal Date *

The date your proposal will take place.

MM

DD

YYYY

Video Coverage *

This will be a $1,000 up-charge.

Yes

No

Proposal Address *

What's the address we need to be at for the proposal? NOTE: If the location is more than 30min from Downtown Detroit, there may be an additional destination fee.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event coordinator involved? *

Will there be someone helping coordinate that we should be in touch with?

Yes, I have a coordinator or contact person.

No, just stay in touch with me.

Coordinator's Name

First Name

Last Name

Coordinator's Phone

(###)

###

####