Name: First, Faience', Last:

Email:

Phone Number:

Address:

City, State, Zip :

Event Type:

Event Location: (specific)

Outdoor Setup:

Yes No ( If yes - please make sure there is electricity available )

Event Date:

Month: Day: Year:

Lighting

Event Start Time:

This is to help us give you a accurate price quote

Event End Time:

This is to help us give you a accurate price quote

Dinner Music :

Yes No - # Of Hours - $30.00 hour extra & Includes a wireless Mic.

How did you hear about us please ?

Internet ( specific )

Other

Local Telephone Book | Yellow Book

Because we spend allot of money on advertising, we are asking you to please be as specific as possible on where you found us, this will help keep our costs down. Thank you for your time.

You will be contacted with in 24 hours, if you are not please call us.