< CUSTOMER INFORMATION   

     First Name: *                                       

     Last Name: *                               

     Postal Address: *                                              

     City/County: *                                                      

     State: *                                                                                                               

     Zip Code: *                                      ex. 00000-000                                       

     Phone: *                                          ex. (000) - 000-0000                         

     Email Address: *                                 

< EVENT INFORMATION

     Event Date: *                               January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2009 2010     [View Calendar of Events]

     Location Address: * (?)                

     City/County: *                                 

     State: *                                        

      Zip Code: *                                 

      Event Duration: *                        Starts at:   12:00PM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM 12:00AM 1:00AM 2:00AM 3:00AM 4:00AM 5:00AM 6:00AM 7:00AM 8:00AM 9:00AM 10:00AM 11:00AM

                                                         Ends at:     12:00PM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM 12:00AM 1:00AM 2:00AM 3:00AM 4:00AM 5:00AM 6:00AM 7:00AM 8:00AM 9:00AM 10:00AM 11:00AM

      Type of Event: *                           Advertising Presentation Anniversary Baby Shower Baptism Bar-Mitzhav Bat-Mitzhav Birthday Party Charity/Non-Profit Event Class Reunion Cocktail Event Concert Opening Convention Corporate Event Dinner Event Fair Event Farewell Event Fashion Show Graduation Ceremony Graduation Party Holiday Event Junior Prom Nightclub Opening Press News Conference Ring Dance School Dance School Event School Fundraising Event Sporting Event Suprise Birthday Party Sweet Fifteen Sweet Sixteen Wedding Ceremony Wedding Ceremony, Cocktail and Reception Wedding Cocktail Wedding Reception Wedding Rehearsal Dinner Wedding Shower

      No. of Guests: *                            1 - 50 Guests 51 - 100 Guests 101 - 150 Guests 151- 200 Guests 201 - 250 251-300 Guests 300+ Guests                                                                                                           

      Type of Service: *                        Event Consulting Maintanance Services Mobile Disc Jockey Service - No Lights Mobile Disc Jockey Service with Lights Mobile Lighting Service Mobile PA Services Other Services - Web Development Professional Disc Jockey (Events and Venues) Professional Light Jockey (Events and Venues) Training Services

< SERVICE REQUEST

Send me the information by: *      Postal Mail Electronic Mail (Email) Phone Call by our Customer Service Center

Send a reply to this request by: *    January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2009 2010

II have read the Terms and Conditions Section of the Service Agreement.                                        

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