Name:  

E-mail Address:  

Street Address:  

Address 2:  

City:  

State:  

 Zip code:  

Daytime Phone:
(Ex. 252-555-1212)  

Free Video Demo:  

Free Photo Demo:  

Wedding Date:  
(Ex. May12, 2007)

Type Of Event:  

Wedding
Other

Location Of Ceremony/Event:  
 

How Did You Find Us?:  
 

Outer Banks Wedding Association
Search Engine
The Knot
Outer Banks Chamber
Outer Banks Bride Magazine
Outer Banks Wedding Guide
Google Ad
Referral
Other

How Should We Contact You?:  
 

Phone E-mail

What Is Your Budget For Photography?:  
 

Up to $999.00
$999.00-$1500.00
$1500.00-$2000.00
$2000.00-$2500.00
$2500.00-$3000.00
$3000.00-$3500.00
$3500.00-$4000.00
$4000.00-$4500.00
$4500.00 or more

What Is Your Budget For Videography?:  
 

Up to $999.00
$999.00-$1500.00
$1500.00-$2000.00
$2000.00-$2500.00
$2500.00-$3000.00
$3000.00-$3500.00
$3500.00-$4000.00
$4000.00-$4500.00
$4500.00 or more

Would you like our recommended vendor list?  Yes No

Additional Questions or Comments:

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