***We are Fully Insured***

                                    Ph:   (877) 484-0388
                            
Date of Event / Last Name
Photo Booth Package Chosen
Please make check payable to: "Funky Entertainment, Inc."
and mail to:   Funky Entertainment, Inc.
                        P.O. Box 2142

                        Patchogue, NY  11772

We accept all Major Credit Cards.  To make a payment via Credit Card, please follow the instructions below.  Thank you.