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*Name:
Company:
*Address:
*Phone:
(good contact number)
Work Phone:
(good second number if the primary is unavailable)
*E-mail address:
*Date of event:
Type of Event:
Select
Wedding Reception
Wedding Ceremony
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Bar Mitzvah
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Dance
Homecoming Dance
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Junior Prom
Soph Hop
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Comedy Night
New Year's Eve Party
Engagement Party
Other
*Starting time:
(approximate time)
*Ending time:
(approximate time)
*Location of Event:
Location's Phone:
Type of
Entertainment:
DJ
Band
Other
If other,
please specify:
Message/Question: