w w w . k p w e d d i n g v i d e o . c o m
(312) 423-6701 P.O. BOX 477699 CHICAGO, IL 60647 info@kpweddingvideo.com



BOOK KP Wedding Video Services for Your Wedding Day

Name *
Email *
Confirm Email *
Event Date*
Primary Telephone # *
2nd Telephone #
MAILING ADDRESS *
Event Location (EXACT ADDRESS) *
PACKAGE SELECTION *
ENTER THE COVERAGE/ PACKAGE NAME / PRICE *
Discount / Referral / Promotion Code
Total Quoted Price
Including discounts and KP Staff $ quotes
Deposit via CreditCard or Check? *
Paperwork via US MAIL or Email? *
How did you find KP Wedding Video?
Notes, questions, comments?

Required *

YOU WILL RECEIVE YOUR DEPOSIT PAYMENT INSTRUCTIONS VIA EMAIL

* If you have not received a Package Price Quote from our Staff, we recommend that you give us a call, you may be eligible for a discount.

* If you have been referred by another Wedding Vendor, enter the Vendor's Name in the referral field to receive your referral discount.

* DEPOSIT AMOUNT: 1/3 of your Total Quoted Price. (X amount by .33 for $ figure) To book and confirm your Wedding Day, your deposit must be received along with your signed service agreement.


KP Wedding Video PO Box 477699 Chicago, IL 60647 (312) 423-6701 Copyright 2008 KP Wedding Video - All Rights Reserved
QUESTIONS? If you need help with any of the fields on this booking form, contact our office.

Info, Sales and Customer Service:
Monday - Saturday 9:00 am - 7:00 pm

(312) 423 - 6701

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