Name: 

E-mail: 

Phone Number: 

City, State: 

Date/Hours of Engagement:

Type of Event:
 Private Party
 Wedding
 Festival
 Charity/Benefit
 Other

Type of Venue
 Private Residence
 Hall
 Other

Is this an indoor or outdoor event?  Indoor Outdoor 

Is there a stage?  Yes  No 

Are there adequate power sources near the setup area?  Yes  No 

Would you like US to provide break music?  Yes  No 

How many people are expected to be in attendance?
50 or less  50-100  100-200  Over 200

Organization's Website (if applicable)

Additional Comments/Questions: