Photo Experience Request Form Business Name:Contact Name:*Contact E-mail:*Contact Phone:* Area Code - Phone Number Business Address:* Street AddressStreet Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodeEvent InformationDate of Photo Experience:*01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearStart Time of Photo Experience:* : AMPMHHMMAM/PM# of Days*Number of DaysOne DayTwo DaysThree DaysFour DaysOtherHours*Hours of Operation2 Hours3 Hours4 Hours5 HoursMore than 5 HoursEvent Location(If different from Business Address): Street AddressStreet Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodeType of Location:Convention HallBusinessRestaurantOutdoor FestivalGolf CourseotherEstimated Attendance:Attendance0 - 50 Ppl51-100 ppl101 - 200 ppl200 - 500 ppl501 - 1000Photo Experience Requested:*Printed Photo ExperienceGreen Screen ExperienceSlow Motion Video ExperienceAnimated GIF ExperienceotherAdditional Services:Hashtag PrintingSocial Media KiosksCoupon CreationGuest ContestLive SlideshowLead Generation/CaptureSocial Media TrackingFacilities Equipment Needed:Cellular WiFi (Low Bandwidth)Wired WiFi (High Bandwidth)Generator10 x 10 TentsAir Conditioner/HeaterOutdoor ShelterIs any location a Union Control Facility? This affects the costs associated with set up and tear down of our equipment at your location:*Yes, it is a Union FacilityNo, it is NOT a Union FacilityI do not knowEvent Goals: Please rank the following goals for your event.Social Reach & Measurability:*Not Important12345Most ImportantUnique & Novel Photo Experience*Not Important12345Branding and Customization*Not Important12345Throughput (How Many People can quickly go through the experience each hour)*Not Important12345Incentivizing & Calls To Action*Not Important12345Lead Generation & Capture*Not Important12345SubmissionAcknowledgement I acknowledge that my request is is not a confirmation of booking and is subject to availability. :*AcknowledgeSales Person Involved:Randy LongWord Verification:SubmitReset