Leave this field blank Event Registration Form We look forward to partnering with you in creating an extraordinary event.We need you to please fill in your details in the Event Information Form below. Name * * Home Address * Home Address Phone * Email * Custom Verbiage Custom wording you would like printed on all photos. Examples: Name of the Graduate, Name of the School, Words of Congratulations, Bride & Grooms names, Acknowledge the date & year, Corporate Slogans, Recognize your type of event, theme, Person or persons being celebrated, etc. File Upload Image(s) that you want incorporated on the digital photo frame and/or on the Mirror Screen, please send over all image files. Examples: School Mascot/Logo, Photo of your person to be celebrated, Combination Photo & Words of Congratulations, Bride & Groom images, Private Club Logo, Company Logo, Artwork for theme of your event, etc. Choose file Uploading… (0%) Browse A file with this name has already been uploaded. Oops. This file type isn’t allowed. This file size is too big. Event Date * Event Start Time * Start Time you would like the Photo Mirror Operational? Event End Time * End Time you would like the Photo Mirror Operational? Event Address * Event Facility Manager Who is responsible for coordinating this event? Event Facility Manager Phone Number Event Facility Manager Email Facility logistics: Where will the photo mirror be setup? Need an approximate footprint of 12’ X 10’ to include Photo Mirror, Backdrop, Printer & Stand, & Prop Area. Choose your complimentary Backdrop You get to choose your backdrop, click on the link above. Click Here Backdrop (1st Choice) * Choose Brick Lights Green Screen Gold Sparkle Dusk Water Wooden Wall White Leather Spiderweb Silver Sparkle Red Confetti Pier Night Lights Christmas Wreath New Years Pumpkin Patch Graduation Blue Skies Classic Balloons Christmas Tree Brick Wall Black Leather Happy Birthday Party Balloons Brick Leaf Heart Balloons Custom (Extra Charge) Backdrop (2nd Choice) * Choose Brick Lights Green Screen Gold Sparkle Dusk Water Wooden Wall White Leather Spiderweb Silver Sparkle Red Confetti Pier Night Lights Christmas Wreath New Years Pumpkin Patch Graduation Blue Skies Classic Balloons Christmas Tree Brick Wall Black Leather Happy Birthday Party Balloons Brick Leaf Heart Balloons Custom (Extra Charge) WiFi * Wifi is required for seamless texting of photos via SMS service. Is WIFI available in the facility hosting your event? Yes No 120 VAC * A single standard 3 prong plug outlet (120 VAC) is needed. I have extension cords, but prefer pto be located within 10 feet of the outlet. Please ensure we have a dedicated power source, not a shared outlet with DJ’s or any power hungry other users. This will help avoid risk of power failure. Is a dedicated 3 Prong 120 VAC outlet available in the facility hosting your event. Yes No Custom Welcome Screen * Silver package only, included in Gold or Platinum Package Yes (Extra $35) No If yes, click here to choose your Custom Welcome Screen.Then, enter the custom welcome screen name or copy the link in the blank below. My Custom Welcome Screen Choice is... * Other Event Details Are there any other details about your event you would like to share? We will connect with you to discuss. Review reply Save draft