| How
Did You Hear of Us? |
|
| 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:
|
Location
Phone:
|
| Event
Location Address: |
Town:
|
| Approx.
Number of Guests: |
Teens:
Children
under 12:
|
| Your
Mailing Address: |
Town:
|
| State: |
Zip
Code:
|
| Your
Home Phone: |
Work Phone:
Ext.
|
|
Your
Fax: |
Cell Ph:
|
| 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
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 |
|
