WEDDING VIDEO BOOKING ACCEPTANCE FORM - HEARTLAND PRODUCTIONS

Please print, complete and sign this form, and return it with your deposit to the address below.
Please enter all details in block capitals.
If you are paying by credit or debit card, we will telephone you upon receipt of this form to obtain your card details.

PACKAGE REQUIRED: Standard [ ] Special [ ]

If you have chosen the Special package and require additional filming beyond 8pm, please state number of hours required________

OPTIONS REQUIRED 1 2 3 4 5 6 (please circle all that apply)
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ABOUT YOU

Are you the bride or groom? Yes No

If no, please give relationship to bride or groom_____________________________________

Name_____________________________________________________________________

Address____________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Telephone
Daytime_________________________________________________

Evening_________________________________________________

Mobile__________________________________________________

Email______________________________________________________________________

ABOUT YOUR WEDDING

Date & time of wedding________________________________________________________

Full address of church or venue_________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Telephone number__________________________________________

Contact name______________________________________________

Have you obtained permission for video recording at this location?______

Full name & address of reception venue:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Telephone number___________________________________________

Contact name_______________________________________________

Time reception due to start________________

Have you obtained permission to video record at this location?________

If you have chosen options 3 or 4 please provide addresses & telephone numbers below. We will contact you to discuss details for any options you have chosen.

Please give any further information or additional requirements here:

I hereby book Heartland Productions to film my wedding on______________________
as per the details on this form. I have read and agree to the Terms & Conditions. I enclose my deposit of £150/I wish to pay by credit/debit card - please contact me for my card details. (Please delete as necessary). I also understand that the remaining balance must be paid for in full, no later than three weeks before the wedding.

Signed__________________________________________________________________

Please print name_________________________________________________________

Date of signature_____________________________

Please return completed forms to:

Heartland Productions
Glended House
St. Francis Rd.
Indian Queens
Cornwall,
TR9 6QW, UK

Tel: 01726 862 816
Email: info@heartlandproductions.com
www.heartlandproductions.com

Thank you for considering Heartland Productions