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: