Payment Form
Full Name
*
First Name
Last Name
Company Name
Optional
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Payment for
*
Legacy Booth
Queso
Salsa
Shipping
Other
Invoice # / Est # / Quote ID
*use only if provided
Shipping Address - Please double check this is correct!
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Amount
prev
next
( X )
USD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Notes on Order (optional)
Backdrops, downloadables, and photobooths are final sale.
Submit
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