Request for Information/ Promotional Package

Asterisks (*) denote required fields.

1. What is your mailing address?

*Name

*Street

*City

*State

*Zip:

2. What are your phone number(s)?

Home Phone

Work Phone

Fax



3. What is your E-Mail address?

*E-Mail Address



4. What type of event are you having?



If Other, Please Specify


5. What is the date of your event?

Date of Event



6. What times do you want the band/dj to perform?


Approximate Times (ex: 7 - 11 PM)


7. Where are you having your event?


Site/Location


8. What type of entertainment are you interested in?



If Other, Please Specify


9. What is your approximate budget for entertainment?




10. How would you rate our site?

Poor Fair Good Excellent


11. How did you get to our site (please be specific)?




12. Comments

If there are any other comments you would like to make please use the space below.