1643 NW 50th St.
Topeka, KS 66618
785-286-3434
www.paragonvisual.com
info@paragonvisual.com

 

Date & Time of Ceremony_________________________

 

Bride’s Name _________________________________

Date & Time of Rehearsal_________________________

 

Current Address (w/zip code) ____________________

Arrival Time of Couple on Wedding Day______________

 

____________________________________________

 

 

Phone: Day _____________  Evening _____________

Photographer (Business Name) ____________________

 

Email _______________________________________

Name of Your Photographer _______________________

 

 

Phone_________________________________________

 

Groom’s Name  _______________________________

Time Formal Pictures Will Begin____________________

 

Current Address (w/zip code) ____________________

 

 

____________________________________________

Ceremony Location______________________________

 

Phone: Day _____________  Evening _____________

Address_______________________________________

 

Email _______________________________________

_____________________________________________

 

 

Phone ________________________________________

 

Future Address _______________________________

 

 

___________________________________________

Reception Location ______________________________

 

Future Phone  ________________________________

Address _______________________________________

 

 

_____________________________________________

 

Order Placed By ______________________________

Phone _________________________________________

 

Address (w/zip code)___________________________

 

 

____________________________________________

How did you hear about us? _______________________

 

Phone_______________________________________

_____________________________________________

 

Email _______________________________________

 

A $250 deposit is required to reserve the date.  Half of the total package price is due on the day before the wedding, with the balance due upon delivery of the finished video package.  Upon signing of this agreement by both parties, Paragon Visual Productions reserves the time and date agreed upon.  For this reason, deposit is non-refundable if the wedding is cancelled for any reason, or if the date changes.

 

Please sign and date this agreement and return with your deposit.  We will sign the same agreement and return it to you.  This agreement serves as your receipt and confirmation.

 

 

 

  By signing this agreement, I state that I have read and

  agree upon the terms and conditions on the back of this

  form.

 

$_____ Package Name _________________________

 

$_____ “Through the Years” Photo Montage

 

$_____ Honeymoon Photo Montage

 

$_____ Video Montage

 

$_____ Highlights

 

 

$_____ Pre-Ceremony Interview

 

 

$_____ Deluxe Musical Love Story

_________________________________________________

 

$_____ Projector Display at Reception

Client Signature                                                        Date

 

$_____ Wedding Web Site

 

 

$_____ DVD Authoring+disc

 

 

$_____ Additional DVD copies (____)

_________________________________________________

 

$_____ Additional VHS copies (____)

Paragon Signature                                                    Date

 

$_____ Travel (_____ miles over allowance)

 

 

$_____ Other ________________________________

 

 

$_____ Other ________________________________

 

 

 

 

  Please make checks payable to Paragon Visual Productions.

 

  Prices are subject to change without notice.

  Prices are not guaranteed without a signed contract.

 

 

 

 

   pwa0902

 

$_____ Other ________________________________

 

 

 

$_____ SUB-TOTAL

 

$_____ Sales tax (6.2%)

 

$_____ TOTAL COST

 

   $250  Less deposit (due with this agreement)

 

$_____ Less partial payment (½ of total cost, due the

                    day before wedding)

 

$_____ Balance due on delivery