www.DominickJR.com
Photography
3141 Michelson #1307, Irvine, CA 92612
949.975..0122
or
949.400.0858
(
*
= required)
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Names:
[Give exact spelling of both your first names and "only" one last name that you will use]
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Address:
*
City, State and Zip Code:
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Wedding Month/Date/Year:
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Dominick's Start & End Time:
*
Wed. ceremony city & venue:
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Wed. reception city & venue:
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Cell Phone[s]:
*
Email:
*
Referred by:
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Home Phone:
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Package #:
Any additional information Dominick should know:
Video Service :
Yes
No
If you checked yes to Video please tell us how many hours of service you would like:
hours
*
Today's Date:
This form to be filled out and submitted to Dominick. Then Dominick asks for a simple $1000 deposit retainer to be sent to the address below and then you would be all set and secured for your wedding date. Thank you.
Please make all checks out to Dominick JR., Inc
Dominick Jr.
3141 Michelson #1307, Irvine, CA 92612