JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Additional Service Inquiry - Gemini Daze
Thank you for your interest in working with Gemini Daze! Please select which additional service(s) you may be interested in below and I will be in touch directly to assist you further!
Note: You may also reach out to me directly on Instagram (@geminidaze.video) for a faster response!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your
Name:
*
Your answer
Phone Number, email, or Instagram handle (so I can get back to you!):
*
Your answer
ADDITIONAL SERVICES
Which additional service(s) are you interested in?
Please select all that apply
*
Custom Light Service/Rental
"Video Booth" for Event(s)
Build Your Own Bag Gear Rental
Pole Recovery Massage & Therapeutics (password request - direct link on website)
Aerial Drone Videography
General Small Business/Individual Tax Advice
South Florida Small Business Alliance (SFSBA)
Other:
Required
Please include a short description of your inquiry, including any important dates, details, or other relevant information relating to your desired service choice:
Your answer
Do you have any specific questions?
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report