| Purchaser
of Our Services? |
(Check
if Same as Above) |
| Date
of Your Event |
|
|
Time
of Your Event: |
From:
To:
|
Type
of Event: |
|
|
Who
is the Party For : |
Surprise?
|
|
Event Location:
|
|
| Event
Location Address: |
Town:
Location
Phone:
|
| Approx.
Number of Guests: |
Teens:
Children
under 12:
|
| Your
Mailing Address: |
Town:
|
| State: |
Zip
Code:
|
| (required)
Your
Home Phone: |
Work Phone:
Ext.
|
|
Your
Cell
Phone: |
(required
if no home #)
|
| Your
E-mail: |
|
Approximate Entertainment Budget?
For your Convenience: |
|
|
Preferred
Lighting Package? |
Choose One
or None
from this List
|
(Click
Here To See Each Lighting Package) |
|
|
| |
None
Glow
Rope/Necklaces
6"
Glow Sticks
Sombreros
Mardi
Gras Necklaces
Hawaiian Leis
Tinsel
Maracas
Chicken
Visors
Gangster
Hats
John
Lennon Glasses
Blues Bros.
Glasses
Foam Hands
Inflatable
Saxes
Inflatable Guitars
Inflatable
Mics
Bandanas
Other
|
| In
Which Entertainment Package
Are You Most Interested? |
(Click
"Tell Me More" for
Detailed Package Descriptions)
I Prefer to Customize My
Own Package |
| Comments
or Questions |
|
