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Personal Information
Name of Bride*
Bride's Phone*
Brides's Email *
Name of Groom*
Groom's Email
Groom's Phone*
Address* (Where the DVD's will be sent to)
City*
State*
Zip Code*
Wedding Information
Date*
Location
Time
Reception Information
Date*
Time
Location
Packages:
(For Reception only please write down selection in the comments box. Thank You)
Photo Ceremony
Only
$500.00
Video Ceremony
Only
$500.00
Bundle Ceremony
Only
$1,000.00
2 FREE  DVDs
Photo Package 1
$1,000.00
Bundle Package 1
$2,000.00
SAVE $100.00
Video Package 1
$1,100.00
Video Package 2
$1,700.00
Photo Package 2
$1,500.00
Bundle Package 2
$3,000.00
SAVE $200.00
Photo Montage for package 2
Photo Montage for package 2
Bundle Package 3
$4,000.00
SAVE $300.00
Video Package 3
$2,300.00
Photo Package 3
$2,000.00
Photo Montage #1 for package 3
Photo Montage #1 for package 3
Photo Montage #2 for package 3
Photo Montage #2 for package 3
Mini Cinema for package 3
Mini Cinema for package 3
Custom/Extras
Additional
DVDs
$10.00 each
Use of Projector
and Screen
$100.00
Raw Footage
$100.00
Additional
Hours
$100.00/hr
Copyright
Release
$50.00
Additional Mini
Cinema
$200.00
Additional Photo
Montage
$100.00
Interviews
FREE
Y             N
Additional Notes or
Comments
How did you hear
about JHRJ
Productions
Shipping and Handling
Send a
check in
the mail
Credit
Card or
PayPal
1 to 4 DVD’s = $10.00
5 to 9 DVD’s = $15.00
10 to 20 DVD’s = $20.00
21 to 50 DVD’s = $30.00
51 to 100 DVD’s = $50.00
- 101 or more please Call
- Please allow 7 to 10 days for shipping
Payments
I would like to make a 50% down payment to lock in my date by
I would like to pay my total bill now by
JHRJ Productions is now shipping out
all orders. We will no longer have a pick
up option. Please add the above Total to
your check amount. If you are checking
out with credit the amount will be added
automatically
By initialing Below I agree to and have
read JHRJ Productions Wedding Contract*
Groom*:
Bride*:
For a copy of JHRJ Productions Wedding Contract please click here
On-line Booking Form
Payments: If you selected to pay by check an invoice will be emailed to the address you provided in Brides Email.
The 2nd payment will be due on or before the date of the event. Please mail to JHRJ Productions 702 SW 48th st
Ankeny, IA 50023 and make the checks payable to JHRJ Productions. If you selected to pay by Credit Card or
PayPal on the next page please choose the same options that you picked here and proceed to the check out. All of
your information will be handled through PayPal's secure and encrypted website. Thank You
Please fill out as much of the form as you can. There are several required fields that are marked with a *. Once the form is
submitted your date will be locked in for 6 days awaiting your down payment. After the six days if no down payment is received
the date is available to other customers. If you need more time or have a special arrangement with JHRJ Productions please
write down the details in the additional information section. The next page will have payment details. Thank You

To skip this page and go directly to making a payment click here
JHRJ Productions
702 SW 48th st
Ankeny IA, 50023