Elysium Productions Contact Form
Phone (800) 373-6085 or (949) 297-4198 Fax (949) 209-0363

Contact Information

First Name

Last Name

Relation to Bride/Celebrant

Request Type

Request Demo DVD

Setup a Meeting

Reserve My Date

Bride/Celebrant

Groom

You MUST provide address information if you are requesting we mail you a demo.

Address 1 (Make sure to include your address if you are requesting a demo)

Address 2

City

State

Zip Code

Email Address

Phone

Alt Phone

Event Information

Event Type

Wedding/Event Date

Appx Video Budget

Ceremony Location

Reception Location

Coordinator

Photographer

Referral Source

Referral Source (Specifics)

Mailing List

I hereby request that Elysium not add me to their email list so that I may receive occasional Company updates.

Credit Card Information (Only Use If Reserving your Date)

You may tentatively reserve our services for your event. Dates are reserved on a first come, first served basis. Your deposit will not be charged if we are completely booked on your date.

If we are are available, your deposit will be charged per the following standard deposit table. NOTE: You must specify a service and ALL information below must be completed or we cannot accept your deposit nor reserve your date.

Original Service ($2,000)

ArtHouse Service ($2,500)

General Event (Non-Wedding) ($1,500)

Credit Card Type