Roth Media Inquiry Form
Thank you so much for reaching out! We are so excited to learn more about your event. 
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A little bit about you:
First & Last Name:  *
Email Address:  *
Phone Number:  *
Time to learn more about your event!
Event Date *
MM
/
DD
/
YYYY
Tell us more about your event!
Start Time: *
Time
:
End Time *
Time
:
Event Location *
Services Required 
Please select all the apply
*
Required
Venue Contact 
If possible, please provide us with a contact from the chosen venue. 
Billing Information  *
Please provide us with proper billing information
Photography
Our standard edit turnaround time is 48-hours. Please advise if you need the images sooner as expedited fees may apply. 

Please skip ahead to the next section (Photo Booth) if photography is not needed for your event.
Type of session
Clear selection
Photo Booth
  • Props, staff and digital customization included 
  • Please allow for 90 minutes for set up and 60 minutes for tear down. 
  • Nearby power outlet or power drop required 
  • Footprint: 10x12 or 10x15 with props table 
Please skip ahead to the next section (360 video booth) if photography or Photo Booth are not needed for your event.
Which Photo Booth package are you looking for?
All packages include staff, text/email photos, gif & boomerangs, green screen, party props, custom watermark & touch screen options. 
Clear selection
Brand Your Photo Booth! Would you like to vinyl wrap the booth? 
Take a look at what we can do!
Captionless Image
Clear selection
Would you like to watermark your images?
If yes, please email us your logo - contact@rothmedia.ca
Captionless Image
Clear selection
Would you like to customize your touchscreen?
If yes, please email us your logo - contact@rothmedia.ca
Captionless Image
Clear selection
Photo Booth Backdrop 
Captionless Image
Clear selection
What time does the room need to be show ready? *
Time
:
Venue wifi information (please include network name & password)
If you said yes to Digital & Prints, 
If you said no, please skip ahead to 360 Video Booth 
What size prints are you looking for? 
Captionless Image
Clear selection
360 Video Booth
  • 12 x 12 footprint required
  • Access to power outlet or power drop required
  • Outdoor activations are weather dependent 
Please skip ahead to the next section (videography) if photography, Photo Booth or 360 video booth are not needed for your event.
Would you like a watermark logo on the video exports?
If yes, please email us your logo - contact@rothmedia.ca
Clear selection
Royalty free dance music is applied to all video exports by default. If you would like to chose a custom song, it must be purchased through a royalty free site such as Premium Beat or Artist. Receipt and license info to be sent along with the song. 
All edits can feature 20 seconds of a song
Clear selection
What time does the room need to be show ready?
Time
:
Videography
Type of session
Clear selection
Thank you so much for your answers! We are excited to work with you!
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